I had Smart Lipo a year ago on love handles, abdomen and inner thighs. No aspiration was done. I have seen no results, except my lower abdomen seems less flabby. The inner thighs also look a lot bigger, and have some remaining hard lumps (painful when pressed). The clinic agreed to retreat and do aspiration, though I have been warned that rarely is aspiration done on the inner thighs, as skin will sag.
However, the surgeon is prepared to aspirate a little from that area, which is my main target for reduction. Is it true that this is never done on the inner thighs? Can I really expect results this time with aspiration?
92 posts
20 Jan 2009
Inner Thigh Aspiration is the norm with Smart Lipo in the U.S. Typically 50 to 200 cc's can be removed gently from this area. Concerns about loose skin here are real, however, using the MPX Smart Lipo, I have gotten very good overall results including skin tightening on the inner thighs. You may want to seek a second opinion.
109 posts
20 Jan 2009
Hi Efcaz, SmartLipo results are far superior with much faster healing time when the liquified fat is aspirated out compared to just leaving it in there to be resorbed over time. Your body can only resorb fat at a certain rate, much slower than what can be removed via aspiration the day of the procedure. On personal experience, the first 30-40 cases of the several hundred I've performed were done without aspiration and 85% of them came back to get aspiration. The lumps & bumps that you are feeling are unfortunately quite common after any lipo type procedure and even more common after SmartLipo without aspiration. The inner thighs can be aspirated safely without that wrinkly skin look but you have to be very conservative, just like in the arms. When I perform it, I will usually separate it into separate sessions in order to give the skin time to tighten and heal and to monitor progression as removing too much fat for the skin to "catch up" and tighten is what I feel in my experience puts the area at risk for looking saggy. Obviously there will be patients who are better off with a brachioplasty, tummy tuck, thigh lift etc... if they have too much loose skin to begin with. Good luck!