I had a old botched lipo. Starting to consider fixing but not sure if it's possible. Any suggestions?
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Doctor Answers 4
Botched Liposuction -- See A Revision Expert
A very difficult situation
At this point, you have had one revision liposuction procedure as well as one attempted fat transfer. Both have failed.
Further liposuction will most likely not give any significant improvement and has a high chance of causing more disfigurement.
The reason fat transfer is so limited is because there is no healthy tissue in which to graft.
Before that can be successfully transferred or grafted, there has to be a foundation or base layer of tissue in which to graft the fat.
In the areas that were over-treated, you simply have skin and muscle left. It's not possible to fat graft into dermis or skin, and fat grafting into your abdominal muscles will not create the contour you're seeking.
Some patients do better converting to a full abdominoplasty.
This will still leave the fat layers uneven, but the stretching component may defuse out those irregularities and make them more palatable.
I have little faith for any nonsurgical modality to help with your problem.
Your diagnosis is lacking fat in the wrong area (that's what I'm calling a divot from previous excessive liposuction).
There is no nonsurgical technology that adds or replaces fat.
I am an inherent optimist but also an honest realist and someone who believes in under-promising and over-delivering.
I wish I could wave that magic wand for you.
Best of luck,
Mats Hagstrom, M.D.
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