What can be done about creases and hole from liposuction 6 months post op? (photos)

Question

I had lipo 6 months ago. I used foams and an abdominal board for two months, wore my compression garment for the majority of the time since I still have numbness and pain on one side. I wore the binder for 3 months, exactly as instructed. I have three creases in my back and one on my belly. The fat removal wasn’t uniform, so I have to have a revision. Will that help? What can be done to fix the creases? I also have a deep hole in my back. What can be done about that?

Jason Emer, MD · Answer

It is too soon to tell what your final results will be. You likely have swelling, which can last 3 to 6 months after your procedure. It will take 6 to 12 months to see the final outcome.

I recommend following up with your physician about their suggested after care protocol. I have my patients wear compression for 3 to 6 weeks straight and then overnight for 3 to 6 months after their procedure. I suggest adding hyperbaric oxygen and lymphatic massage along with your compression to help decrease swelling. To improve your final results, I also recommend adding Vanquish for further fat removal; truSculpt iD, Exilis, Forma, and Venus Legacy for additional skin tightening; and Cellutone / ZWave to make the skin smooth, remove scar tissue, and improve the skin’s appearance.

Ultimately, if you are unhappy with your results, please speak to your physician and ensure that he/she was a full body VASER Hi-Definition liposuction physician with extensive experience in contouring and body shaping -- and not just traditional fat reduction. ​You can always get a revision procedure by an expert if needed. Best, Dr. Emer

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question, based on the pictures the you are a good candidate for love handle liposuction and second round lipo for your upper and lower back improving your body contour.

Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).

Kind regards

Daniel Barrett, MD · Answer

Dear alohahoneypie,
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

Camille Cash, MD · Answer

It's difficult to give a recommendation with the limited photo.  It appears you would be a candidate for liposuction revision which may provide smoother results.  You can also consider adding J Plasma to aid in skin tightening.  See a board certified plastic surgeon near you for a consultation and evaluation.

Mats Hagstrom, MD (license on probation) · Answer

Your picture is a little limited in making a quality assessment. Ideally patients should post proper before and after pictures to get a good assessment on the outcome of a procedure. If you don’t have your before and after pictures ask your surgeon to forward the ones they took.

It looks like you have skin laxity that may be contributing two why the outcome looks the way it does. It also appears that the fat was removed unevenly.

Revision procedures are appropriate when indicated.

The potential impact of a revision procedure is based on the patient’s candidacy and the skill of the surgeon.

Best,

Mats Hagstrom MD

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