Does a touch up procedure need VASER technique or traditional lipo? (photo)

Question

Hello, my surgeon has suggested a touch up after my VASER procedure due to the irregulares left behind ( 3 pockets of fat ) but he suggests local traditional lipo instead of VASER as a second opinion has suggested. Do we use traditional lipo or VASER as a touch up procedure or traditional lipo? Thank you

Jason Emer, MD · Answer

In my opinion all revision need Vaser, you may also need fat grafting, skin removal / scar tissue removal, and internal heating with renuvion/jplasma. I suggest seeing an expert. 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.

Charles Nduka, MD · Answer

Based on the photo, there was indeed too much fat removed. Whether VASER or traditional liposuction procedure is done, you might want to consider fat grafting to contour the areas where too much fat was removed. However, an in-person examination would be the best way to determine which revision procedure will benefit you the most.

Mats Hagstrom, MD (license on probation) · Answer

thank you for showing good pictures. It appears your primary treatment was done poorly.  It looks like you were fairly aggressively over treated.  This happens more frequently with the use of VASER.
 I'm afraid liposuction regardless of technique is not going to bring back a normal appearing abdomen. 
 Your problem is not that fat was left behind but that too much fat was removed. 
 It doesn't matter if the VASER is used during a revision if her revision isn't going to fix the problem. 
 My  optimism for restoring a normal appearing  abdomen is low in your case.  I'm not a believer in high definition at work because of outcomes like yours.  You may want to consider sharing your experience both in regards to high definition of work and your provider to save others from making the same mistake. 
 Sorry to be blunt. 
Best,
 Mats Hagstrom MD

Does a touch up procedure need VASER technique or traditional lipo? (photo)

Answers (3)

Recommended reading

Everything you need to know about Liposuction Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

Does a touch up procedure need VASER technique or traditional lipo? (photo)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Liposuction Revision

Our mission is to create a world where every investment in modern beauty is Worth It.