Liposuction gone wrong - lipodilution injections or revision? (photos)

Dear Agg12345678,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for the series of posted photos. But best to seek in person or excellent virtual consults. I recommend fat grafting along with Sculptra injections in a combination. This might need 2-3 surgery sessions.

You are encouraged to consult a board certified plastic surgeon because revision cases are more complicated. The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

It’s very difficult to assess Liposuction results when the skin is contracted.

How the skin drapes it’s a combination of multiple variables including fat distribution.

If there’s an issue with fat distribution it should be noticeable with the skin under tension and an upright standing position with a careful examination.

It does look like there is a single line with the surgeon may have done liposuction in the same direction a few too many times but if this is truly related to fat distribution it should be noticeable in a standing position as well.

If you can’t tell in a standing position that it’s going to be very challenging to correct it with any procedure since it won’t be visible when you’re laying on your back and the surgeon is doing the procedure.

If you were a candidate for a full tummy tuck then converting the procedure to that would be the easiest way to illuminate the problem but that may or may not be appropriate at this time.

Fat transfer to correct Liposuction results is very difficult. fat grafting survival is based on the presence of host tissue and the area where the fat is needed the most has the least host issue while the surrounding areas have more host tissue favoring fat survival in an undesirable distribution.

When the problem area or defect cannot be seen or felt laying on your back and the surgeon has to go buy preoperative markings which adds a layer of uncertainty.

You can work with your surgeon which is probably what most providers would recommend and see if a revision helps.

Another alternative is to except the results for what they are and leave good enough alone or you can seek second opinions by having proper in person consultations with other providers.

When having second opinion consultations patients should always bring a proper before and after pictures and a copy of the operative report all which are available from your current provider.

Delivering consistent high-quality Liposuction results is more difficult than most people believe. I continue to encourage people to be very selective in choosing providers for this procedure.

Best,

Mats Hagstrom MD

Hi and welcome to our forum!From your photos, I note irregular surface contour of your abdomen following liposuction. This may be due to technical error or may be the result of loose skin and adhesions to underlying structures. Deoxycholic acid injections will dissolve fat. However, once injected, the extent of its effect cannot be controlled.You may wish to consider a tummy tuck (or mini) to remove lax abdominal skin, lyse adhesions and tighten the abdominal wall.Discuss this option with your plastic surgeon.Best wishes...Best wishes...