Is necrosis more likely to happen after a botched Bodytite?

Thank you for your question. The answer is somewhere in between. With Bodytite, the radio frequency energy is directed at the skin/dermis/fat, which hold the blood supply to the tissues. This does result in some micro scarring. This has the same effect as laser liposuction. I have done many abdominoplasties after laser lipsuction, and it is a more difficult procedure because of the scarring, and many of the irregularities that you describe will not be smoothed out after abdominoplasty. If you're in good health and a non-smoker, you should not be at a markedly high risk of vascular necrosis, although it could occur.

My first hand experience from the new generation of skin tightening devices has been pretty disappointing. To the point where I sold the device at a substantial financial loss because I couldn’t recommend it to anybody it didn’t work. in my case the device was J plasma.

You really do need to ask yourself if it’s justified to do it a full tummy tuck. Do you have the skin laxity to clear all the skin from your belly button all the way down to your groin?

I personally wouldn’t be too concerned about skin necrosis but I would be worried about scar tissue making the skin and fat layer less pliable and having a difficult time clearing removing that much skin and still being able to close the abdomen and not have it look over done.

It’s possible to do an alternate approach we’re not all the skin is removed and you end up with a small vertical skin somewhere between the belly button and the main incision.

Your pictures should include your entire torso so we have a better idea of what we’re looking at.

I suggest focusing exclusively on in person consultations until you find the plastic surgeon you find has the most skill and experience and seems to have a treatment option you you think it’s going to work best for you.

Until then I suggest slowing down the train.

Best,

Mats Hagstrom MD