Any Advise on Correcting my Stomach After Lipo?

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.

Thank you for the question and pictures.   the problem that you have is that a large gauge cannula was inserted or placed in the wrong plane witch leads to this kind of results.   It can be improve with Vaser high def Lipo with fat grafting to the putted areas.   This might require several sessions of fat grafting.

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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 increase problems with the overlying skin.

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.

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.

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 advice on how to proceed.

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 board certified plastic surgeon who has experience in fat grafting and correcting contour deformities from liposuction.  Best of luck to you!

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