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Back contouring is the narrowing of the waistline achieved by removing fat in the love handles and flanks. Removal of this fat is challenging with traditional liposuction techniques because this fat is very fibrotic. The fat in the flank region has superficial, middle, and deep fat rather than just superficial and deep fat. The middle and superficial fat of the back are very fibrous and tethered by retaining ligaments that make fat removal difficult with traditional techniques. Fortunately, 90+% of this fat can be removable with VASER high definition liposuction.