What can I do about an area poking out above the belly button that revision lipo didn't remove? (photo)

Question

I had a BBL with lipo over a year ago, I have this area poking out above the belly button. I have seen a GP who says it is not a hernia. So I went back to my DR and he did lipo in that area again in case it was some fat left but this made no difference. It looks very strange from the side in clothes, is there anything that can be done for this?

Misbah Khan MD, FAAD, FACMS · Answer

I had a patient with the exact same issue who underwent SmartLipo to have it fixed and several other procedures which all made it worse. Im not saying that's related to your case but its in the same range of defects. in her case I had to do a minor surgery to actually remove the scar tissue that was underlying. and that fixed the problem. I don't know if that's an option for you without seeing you and discussing with you, but such a defect is not uncommon.

Anthony Barabas, MBBS, FRCS (Plast) · Answer

If liposuction has not worked in this area, and if you are happy to except a small incision around the top of your belly button this is might be possible to improve this area via an umbilioplasty approach. You would need a face to face consultation to see if this is possible. Best wishes.

Jason Emer, MD · Answer

there are two options here, to do more agressive lipo with VASER + internal heating like renuvion j plasma or body tite OR you need to do a tummy tuck with the lipo.  youd have to be seen In person to determine what Is best but it appears you do have loose skin which Is why its pushing out like that.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

David Hansen, MD · Answer

Micro canula liposuction under local followed by Bodytite/Facetite RF will flatten that area just fine.  It may be a combination of a little fat, and a lot of fibrous tissue or loose skin.

Daniel Barrett, MD · Answer

Dear Rubie95,
I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Arian Mowlavi, MD, FACS (license on probation) · Answer

You would benefit from a consultation with a board certified plastic surgeon. This can likely be corrected using high definiton VASER liposuction. The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

What can I do about an area poking out above the belly button that revision lipo didn't remove? (photo)

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