What are my options for correcting uneven legs and cellulite after inner thigh and knee liposuction? (photos)

Question

Dear All, I had liposuction at my inner thighs and knee area and there are a lot of Uneveness and even made my cellulite worse. Is there anything i can do besides spending more money to fix it Thanks!

Semih Yildiz, MD, FEPOBRAS · Answer

Unevenness after inner thigh and knee liposuction can come from swelling, scar firmness, superficial fat removal, skin laxity, or cellulite that was unmasked rather than truly created by surgery. In the photos, there appears to be mild surface dimpling and contour unevenness in the inner thigh area, but lighting and positioning limit what can be judged accurately.

If you are still within the first year, conservative care may help: keep your weight stable, follow your surgeon's guidance on compression, gentle massage or lymphatic drainage if approved, regular walking and strengthening, and time for swelling and scar tissue to soften. If the contour is still bothersome after healing is complete, an in-person exam can determine whether options such as subcision, skin tightening, small-volume fat grafting, or very conservative revision liposuction would be appropriate. Repeat liposuction in the inner thighs should be cautious because it can worsen waviness if the problem is skin quality or superficial irregularity.

Connie Hiers, MD, FACS · Answer

Your photos are dark and hide some of the details. However, you may get improvement with micro-needling and with Sculptra treatments. An examination is needed to be certain.  If you can, submit better photos.

Garrett Jones, DO · Answer

Options for addressing uneven legs and cellulite after liposuction might include consulting with your surgeon for potential revisions or seeking additional procedures like skin tightening or cellulite treatments. Physical therapy and targeted exercises may also help improve muscle tone. It’s crucial to discuss your concerns with a skilled healthcare professional to explore solutions based on your specific situation.

Camille Cash, MD · Answer

It's difficult to make specific recommendations from the submitted photos. Sometimes a revision of the liposuction can be done to even out results.  At times fat transfer is be indicated to improve contour irregularities.  For cellulite you may want to consider Aveli which is a one time in office treatment specifically designed to address cellulite.

Mats Hagstrom, MD (license on probation) · Answer

Delivering consistent quality, liposuction, results is more difficult than most people realize. The number of plastic surgeons who truly mastered this procedure or in a small minority. Inner thigh, Liposuction is technically difficult, and often the procedure does not deliver. The type of results patients had hoped for. The procedure should be done only on patients who have tight skin and modest amounts of access fat. Even on young individuals with tight skin the procedure tends to under deliver what patients had hoped for.
The number of plastic surgeons who can deliver consistent quality results is relatively small. Liposuction results, very dramatically based on provider selection.. 
Correcting poorly done, Liposuction is very difficult and often not possible. 
Improving undesirable outcomes is sometimes done with revision Liposuction, fat transfer, or a combination of both.
Revision Work is many times more difficult than primary Liposuction. The need for expertise goes without saying.
Patient should be far more selective than they may think necessary for any permanent irreversible body contouring procedure.
Be cautious of any provider who thinks this is easy to fix or that this can be improved by using some modern technological device.
There are no non-surgical options to improve your outcome.
The following are some general guidelines on how to find the right provider.
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 characteristics to your own for whatever procedure you are interested in. 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 look like or what your results are likely to be 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 to use for 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.
Mats Hagstrom, MD

Caner Kacmaz, MD - Account Suspended · Answer

Hi! this is Arzu from Dr. Caner Kacmaz clinic. The photos are not clear enough to comment. But the lymphatic drainage massage is the best for cellulite.
Kind regards

What are my options for correcting uneven legs and cellulite after inner thigh and knee liposuction? (photos)

Answers (6)

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