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Any Advise on Correcting my Stomach After Lipo?

asked 1 year ago by crossyourfingers
Latest answer by Richard Linderman, MD
Question viewed 1,545 times
Tags: stomach, lumps, revision

I had smart lipo on my stomach in May 2010. There were a few high spots so he did a touch up in Aug 2010. The high spots were still there so he went in one more time Dec 2010 just with the cool lipo laser, no lipo. He felt he could just melt the fat in the high spots and it would absord back in the body. Now in Feb. the high spots are still there, not as bad but my stomach looks like cottage cheese now. Everything is soft, no hard feelings or anything, just lumpy cottage cheese looking, advise??

18 answers to Any Advise on Correcting my Stomach After Lipo?

After liposuction, give it at least 4 months to see end results.

It is too soon to see the results from your dec, 2010 treatment. If you need further fine-tuning, I would go only to someone who does the microcanula tumescent liposuction to get the refinement you need. Sincerely, David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon

www.DrDavidHansen.com

Overlipo

The first thing you do not need is more lipo. Your abdomen looked nice before all these procedures no matter what the fancy name smart, laser, cool etc. Wait three months. You need to find a very experience board certified plastic surgeon who has done a lot of fat injections. Micro fat injections can help.

Richard Linderman, MD
Indianapolis Plastic Surgeon

Multiple liposuction revisions

At this time, not too long after three procedures, all within a short period, you should rest for six months. Let the subcutaneous tissue heal. Then, see what is depressed, and what is elevated. You may need fat injections or you may need deep tissue massage such as with Velashape. It is not possible to be sure without an examination if you had underremoval in a few areas or overresection in some, or both. If you have more surgery now, you might be removing too much fat which can... more

Ronald Shelton, MD
Manhattan Dermatologist

Contour deformity after Smartlipo

First, of all, please stop having procedures on your belly. You need to let the tissues settle and the scar tissue (under the skin) mature for at least 6 to 12 months. This is a difficult situation with over-resection of fat from the superficial layer. You may benefit in the future from fat injections or other procedures, but it will be a multi-staged process and it is difficult to predict the results at this point. Hang in there and good luck.

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Unsatifactory results after 3 lipo procedures of the abdomen

Was the physician that performed your lipo a plastic surgeon? Your abdomen was smooth before the procedures but now is quite irregular. There has been over-resection of fat which is a difficult problem to correct. My recommendation would be to wait at least 6 months after your last procedure and then obtain 1 or more second opinions from reputable board certified plastic surgeons. You may never have a relatively smooth contour but fat injections can be considered to help fill in... more

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

Uneven Surface of Tummy after Liposuction. What to do?

I am sorry you had these problems. Your abdomen looked good prior to any surgery. I suggest you approach the surgeon and ask for a correction plan. Then seek 2 consultation from other surgeon who do a lot of liposuction. Go to the Univesity. Talk to a surgeon that is certified by the ABPS and FACS. You can gain much improvement here. Possibly a Vaser procedure would help. I like the Vaser. Vaser Corp...Sound more

George Commons, MD
Palo Alto Plastic Surgeon

www.pacfps.com

Contour Defect after Smart-Lipo

I would recommend that you give your body 6 months to recover from the past 3 procedures. I do not believe further liposuction will improve your contour. Daily deep tissue massage can help decrease the swelling and hardened areas. Once your abdomen is soft and 6 months has passed, you will most likely benefit from fat grafting to the depressed areas in a staged fashion. I would plan on 2-3 sessions to fully correct your deformed areas. I wish you a... more

Paul S. Gill, MD
Houston Plastic Surgeon

www.drpaulgill.com

Contour deformities after liposuction

After evaluating your pictures, it appears as though the valleys are caused by overresection of fat. Given the fact that there was not much fat to start with, it may be unwise to perform further lipo. Fat injections into these over treated areas would likely give you the best result. Wait at least 6-9 months before any corrective surgery is performed.

Michael Orseck, MD
Greenville Plastic Surgeon

Any Advise on Correcting my Stomach After Lipo?

Very unusual history of Smart Lipo. I feel the doctor was not a "true" expert on the uses of Smart Lipo and you ended up with a very poorly preformed result, not once but 3 times. My advise is allow healing for at least 6 months. Than find a true lipo expert and fat grafting expert. Repairs will be very expensive ($10,000 range) and you will need over three operations for you to achieve a more smooth result. From MIAMI Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Cottage cheese abdomen after smart lipo

I would wait at least a total of 6 months before formulating a treatment plan, like the others said you started with not much localized fat and now you have too little fat in some areas. without proper physical examination it is tough to say but you might be a candidate eventually for fat grafting and maybe even a mini tuck to tighten the area below the belly button, either way I would wait at least 3 more months.

Antoine A. Hallak, MD
San Diego Plastic Surgeon

Cottage cheese after Abs lipo

This is a difficult problem that may be fixed or only improved. I think you may be able to get an excellent rememdiation. My suggestion is to consider an abdominoplasty. Discuss this with your plastic surgeon, or get a second opinion. sek

Scott E. Kasden, MD
Dallas Plastic Surgeon

Lipo results

Hard to say what the problem is for you without a proper evaluation and exam. It looks like you have overtreated areas.

Steven Wallach, MD
Manhattan Plastic Surgeon

Lumpiness after liposuction

I hesitate to comment with having had the advantage of examining you but I feel the need to make a couple of points. FIrst, your pre-op abdomen looks quite normal. The amount of localized fat is quite minimal. What that tells me is that the margin of error is quite small. Any imperfection will be apparent post-op and this is ths case. Second, it does not matter what type of liposuction machine a surgeon uses. It is not magic. The technique has to be applied appropriately, judiciously,... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Scars and irregulatities after laser lipo difficult to fix

While of course no one can advise without personally seeing you, the appearance in the pictures is consistent with scarring from the laser. This will soften and improve with time so some patience will be required. It is interesting to me that the use of lasers with liposuction is advocated by less than 4% of board certified plastic surgeons, one reason being the risk of problems like you are unfortunately experiencing. When you feel like the tissue is softening, see a plastic surgeon for... more

Richard Baxter, MD
Seattle Plastic Surgeon

Correcting irregularities after liposuction

I would recommend that you avoid any further procedures for now and give your abdomen a rest. Wait at least 6 months to allow your tummy to heal. It will be impossible to completely correct the irregular contour of your abdomen, but it can be improved with fat grafting to the areas that are depressed. It looks like you have had too much fat taken out and it was not done smoothly. You should definitely not have any more liposuction done. Make sure you go to a... more

Caroline Min, MD
Los Angeles Plastic Surgeon

Not so smart lipo

You have to let the scar tissue soften some before you can try to improve anything, but it will probably never be completely even again. The problem is not too much fat, it is too little fat and too much scar tissue. Doing something to tighten the skin (like a tummy tuck) will get the most improvement but have the trade off of a longer surgical scar.

Byron D. Poindexter, MD
Reston Plastic Surgeon

Dents after smart lipo

Liposuction is only as 'smart' as the surgeon as dents can be seen with any technique. Results depend on the skills and experience of the surgeon so it is very important to do your homework and insist on board certification. The best course now is to let the area heal fully for at least six months, and then selectively correct the high spots, and place fat into the dents to improve the contour. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

Correction after Smart Lipo

I recommend stopping any more treatments for now and let everything settle while the internal scar tissue softens and matures. Massage and ultrasound of the area may help. Also, consider getting an opinion from an experienced Board Certified plastic surgeon before jumping into any more procedures. It is possible that if things don't improve, some limited liposuction and/or fat grafts could be considered.