Power-assisted liposuction (PAL) is liposuction with a vibrating surgical handpiece. The vibrating handpiece allows the surgeon to expend less energy during the operation. This technology is especially helpful for large-volume fat removal, the removal of dense/fibrous fat, and in revision liposuction cases with more scar tissue. While I like to use this technology for both primary and revision liposuction, I cannot argue that this technology improves or changes my patients’ results.