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Aesthetic surgery of the trunk and the extremities assuredly represents the widest branch of aesthetic surgery of the body. The main procedures used for trunk and extremity contouring are abdominoplasty, brachioplasty, and thigh lift.

The authors discuss Vaser-assisted face and neck contouring technique with explanations of indications, preoperative marking, incisions, infusion contents, aspiration, postoperative care, and warnings to prevent complications and also present a number of cases using Vaser-assisted technique.

Open rhinoplasty has become a common procedure as the patients willing to correct poor results after primary rhinoplasties or after trauma have increased. The more aggressive the first rhinoplasty, the more complicated will be the repairing process of the nose. In most of the cases, the key for a successful secondary rhinoplasty is to reconstruct the lower third of the nose, often compromised by the first operation or by a trauma. The authors describe restructuring the lower third of the nose in Caucasian and ethnic noses.

Gynecomastia can be present in men in three different forms; (1) pure with the majority of breast parenchyma being affected, (2) fatty with the majority of breast tissue formed by fat, and (3) mixed with a combination of both previous situations. In order to improve results of SAL to gynecomastia, the author has introduced Vaser over the past 10 years. The technique is described.

Aesthetic breast augmentation is usually performed in a retromammary plane (behind the breast parenchyma), when breast parenchyma is enough to cover the implant or in case of active sport patients, or in a retropectoral plane (behind pectoralis muscle and serratus) in all other cases. In some cases, where mammary gland is mostly located on the lower pole, the implant can be partially placed behind the pectoralis major muscle and partially behind the breast parenchyma (partial retropectoral). The dual plane inverted technique consists, such as in the classical dual plane method, in positioning the prosthesis partially under the pectoralis major muscle and partially under the mammary gland. The difference, compared to the classical method, consists in covering the implant using the lower third of the pectoralis major muscle, thus leaving the implant to be covered by the mammary gland on the upper two thirds, so creating a kind of lifting of the breast, obtaining a mastopexy effect. The technique is described.

Localized fat deposit in man and woman represents one of the main causes of dissatisfaction of the body image in this millennium, where the consideration for a slim and pleasant proportioned body has taken the place of the fat woman of the middle ages at the beginning of 1900. New models introduced by the media and imaging have pushed the population to follow diet and regime to try to be on shape, and for most of the lifetime, struggling against the temptations of good food and lazy life. Healthy food, gymnastics, exercise, and running are all types of new trends of life scenario that have been introduced in the last 20 years and have revolutionized our lifestyle. Despite all these attempts, fat deposits in women and men have remained unchanged. This is mainly because of hereditary disturbance of constitution and hormonal change mostly in woman, rather than for the difficulty of most races, such as Black and Arab, to change their style of life and nutrition through the ages. The new generation is very focused on the aspects of the body, aiming to be slim and sexy and devote great attention to nutrition, exercise, and body enhancement. For limited areas of fat accumulation, what we generally call lipodystrophies, a new treatment has been introduced recently following the previous experience of internal and external ultrasound energy.