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Buttocks Wedge Excision- Should the Extra Skin Be Removed or Fold in ?

asked 1 year ago by vasiliki1 in Greece
Latest answer by Ronald Shelton, MD
Question viewed 379 times
Tags: buttocks, excess skin, excision, wedge

I had smartlipo on the gluteal crease (wish i never had) now i have an empty skin pocket for which my doctor adviced me to have a wedge excision under the buttocks without cutting the skin away but folding it in to create a new crease. Please help me i don't really trust this solution but i cannot live with that extra skin it looks horrible

4 answers to Buttocks Wedge Excision- Should the Extra Skin Be Removed or Fold in ?

+3

Reconstruction of SmartLipo Disaster with Buttocks Wedge Excision

Sadly, yet another "SmartLipo Victory". A photograph would have been very useful here. I suspect the person who did the DumbLipo on your infragluteal crease was NOT a Plastic surgeon. Every Plastic surgeon knows that liposuction of the fat roll near the infragluteal crease is very tricky. Removing too much fat caused collapse of the buttock inferiorly with an abnormally deep fold. In your case, not only did you have liposuction but the fat was cooked to 400 degrees with a... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+2

Infragluteal liposuction

The infragluteal area is a danger zone with liposuciton. If you have a bad result, please do not query internet opinions of liposuction surgeons, even if you provide photographs. This is too important. You must seek a second opinion from an experienced liposuction surgeon to evaluate what, if any, is the best alternative treatment. Excision could leave a bad scar, replacing one for another.
Ronald Shelton, MD

Manhattan Dermatologist
+2

Do Not Recommend Buttock Wedge Excision

It sounds like you had a suboptimal liposuction result. Most prudent and safe surgeons avoid excessive gluteal crease liposuction - to avert the problem that you're now dealing with. Rather than proceeding with a wedge excision that will never look natural and leave you with a significant scar in a potentially visible area, I would recommend pursuing fat grafting instead, to try to augment and reestablish the fatty tissue that was removed in the first place. Depending... more
Samuel Sohn, MD

Las Vegas Plastic Surgeon
+2

Pictures would help

Your concerns about excision are valid. The results has nothing to do with tool that your surgeon used, but with decision to remove fat from wrong idea. Fat grafting and going back to start point may help. There are a lot of non-plastic surgeon physicians that started doing laser lipo without proper training. We used to see bad results before, but now there many more bad results due to fly by liposuction centers that offer liposuction by non- qualified partitioners. Get second opinion by a... more
Kamran Khoobehi, MD

New Orleans Plastic Surgeon

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