Botched lipo options? (Photo)

Question

I had lipo in fall of 2023, and my result are horrible. I have wavy, lumpy and uneven. I have been working with the surgeon to correct. He has suggested skin tightening and serum with I have tried with no improvement. Lastly he suggested Sculptra, which is a filler. What option do I have to improve my results? Why did this happen because the surgeon assured me I was a good candidate for lipo.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Mats Hagstrom, MD (license on probation) · Answer

Was your provider board-certified in plastic surgery?
Delivering consistent quality, liposuction results is far more difficult than most people realize. The number of plastic surgeons have truly mastered this procedure are in a small minority. Liposuction is a permanent and irreversible procedure.
Correct in poorly done Liposuction is extremely difficult and sometimes not possible.
Your provider has already proven that they are in capable of doing quality Liposuction.
Try to negotiate some kind of financial refund is probably the best you can hope for.
Liposuction Revision is very difficult and sometimes improvements or not possible.
To find the right provider, I suggest the following.
To find the best provider, I suggest patient schedule multiple in person consultations with experienced plastic surgeons in their community. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who have similar body or facial characteristics to your own. An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. An experienced provider should in fact have hundreds or preferably thousands of before and after pictures to choose from for commonly performed procedures. 
Being shown a handful of preselected images, representing the best results of a provider’s career is insufficient to get a clear understanding of what average results will look like in the hands of each provider.
There is no correct number of consultations needed to find the best provider. The more consultations you scheduled the more likely you are to find the best provider for your needs. 
Take careful notes during each consultation, especially regarding the quantity and quality of before and after pictures. It’s not a bad idea to bring pictures of your own body/face to use as reference when reviewing before and after pictures. 
The biggest mistake patients make is scheduling only one consultation without properly vetting or comparing providers before scheduling surgery.
Best,
Mats Hagstrom, MD

Botched lipo options? (Photo)

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