Is it possible to lipo the same area twice if the doctor isn't as aggressive as I hope the first time? (photos)

Hi Sydney,To get a snatched waist you need to have aggressive fat removal of the torso/sides and have fat injections on the hips/buttock to give the illusion of an S Curve. You need a formal evaluation by an expert in body shaping and contouring to determine what is best. The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into 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 a combination of Cellfina, 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: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin.
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. Don't let distance dissuade you; see an expert. Best, Dr. Emer.

If you are already planning your second touch-up surgery before you have even had your first procedure then there is something wrong.  Perhaps you should get a second (or even a third) opinion from another board-certified plastic surgeon who can examine you in person and review your options with you.  Secondary procedures may sometimes be more difficult because of scar tissue formation following the first procedure.  The use of lasers (SlimLipo or SmartLipo) may improve results on the second go-round if necessary.

It is sometimes best to get multiple opinions if you are in doubt.  However it is done as in person consult to evaluate the soft tissue and fat and shape through a physical exam and to discuss potential to give you exactly what you want.  Ease of communication of expectations is very important