Can botched liposuction be fixed? (Photo)

Question

Please Help, I have a deep ridge & dimpling of my abs and flanks from liposuction, can this be fixed? Any physician recommendations, I live in Michigan. Thank you.

Daniel Barrett, MD · Answer

Dear NancyFT,
I would have to examine you but it appears that this is a contour irregularity after liposuction.  This happens often when areas the undergo liposuction are not feathered appropriately. The good news is that it can be fixed and I have done so with good results before.  While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jason Emer, MD · Answer

this likely needs revision liposuction with fat grafting and internal heating with j plasma/renuvion. it may need a tummy tuck as well to release the scar tissue and improve the loose skin. I suggest seeing an expert as this type of revision is quite complex.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to 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 cellfina, sculptra, 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 such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  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.  Dr. Emer.

George Marosan, MD · Answer

Thank you for your question and photo. The photo is close up and not very helpful. Multiple views standing straight and bent over might be helpful to give you a meaningful response. In my body sculpting practice, over 50% of my patients are redos from other surgeons' poor or suboptimal results.See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

it would help if you showed better quality before and after pictures.  In general but outcomes from the bus selection are difficult to correct and often not possible.  This is especially true for those who have been over treated.  Options include revision liposuction, fat transfer or converting this to a skin removal procedure like a full tummy tuck.  Best, Mats Hagstrom MD

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