When doing body contouring, it’s important to view the entire body in context. Each part of the body looks the way it does only in context to the rest of the body. Other words when doing contouring, you can’t just look at a single tree, but need to step back and look at the forest. For example, I generally treat the torso as a single anatomic unit. By treating the torso as a single anatomic unit patients are left with an even thin fat distribution. That’s consistent throughout the whole torso. This leaves no transition zones between treated and untreated areas. At full torso includes upper abdomen, lower, abdomen, love handles, waist, full back, and under arms all the way to the side of the breast. For women who have larger upper extremities, they should recognize that their arms will be proportionately larger if they undergo liposuction of the torso. The thicker, the subcutaneous fat layer is the more this will become apparent. Treating the torso with arms is a very common combination in my practice, especially on women who feel their arms are already large to start with. Well done arm Liposuction can create phenomenally good results. You can look at some of my before and after pictures under my profile on this website under Liposuction and look for arm before and after pictures. Arm liposuction are technically more difficult, then treating other areas. In my opinion, arms should be treated Sercombe Franchel he treating the entire arm from the shoulder, blending into the forearm. Delivering consistent quality, Liposuction results is more difficult than most people believe. The number of plastic surgeons who have mastered this procedure and can leave consistent quality results without any contour irregularities and can assess patients, given, correct recommendations and then deliver consistent high patient satisfaction quality results is relatively few. Liposuction results that’s more variation in outcomes among different plastic surgeons than any other plastic surgery procedure I’ve ever seen. Choosing the most talented and experience provider is the absolute most important variable. For this reason, I recommend patients before more selective than they ever thought necessary. I recommend patient start by having multiple in person consultations. There’s no correct number of consultations needed, but I suggest for procedures like Liposuction you start by having at least five in person, consultations and consider scheduling many more. There is simply too much variation in outcome among different plastic surgeons, and the number of plastic surgeons who can deliver, virtually perfect results every time is rare. 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 around with. Being shown a handful of pre-selected images, representing the best results of a provider’s career is completely insufficient to get a clear understanding of what average results look like or how many of these procedures a surgeon has actually performed. For reference an experienced plastic surgeon should have no difficulty showing you a minimum of 50 sets of before and after pictures. In reality, Haily experience plastic surgeons will have hundreds or even thousands of before and after pictures to choose from. Being shown four or five sets of images is completely insufficient and this does not give you any understanding of what average results look like in the hands of each provider. Ask providers to specifically show you variation in outcomes, including excellent outcomes, average outcomes, and outcomes that did not turn out, as well as they had hoped for. Providers may be apprehensive to do this, but patience should be advocates for themselves and recognize that they are the ones vetting the plastic surgeon and you have all the right in the world to ask to see supporting documentation of the work the surgeon does on a regular basis. I think you’ll find that the most talented and experienced plastic surgeons will also be the most open minded about showing you as many pictures as you want including outcomes, but may be less than perfect. We all have a variety of outcomes and it’s fair game for patients to ask to see what typical results look like. Mastering Liposuction text decades with the title commitment of mastering the procedure. Substantial number of plastic surgeons of you Liposuction as a simplistic procedure with a lower learning curve. In reality, delivering consistent quality, liposuction results is one of the hardest procedures to master, and requires having a total dedication to mastering the procedure as well as having done thousands of cases. considering how many plastic surgeons don’t even like doing liposuction it’s no wonder they were such a variation in outcomes. Liposuction results are permanent and the reversible. You’ve done poorly. It is virtually impossible to improve on the outcome. This is especially true when providers attempt, aggressive treatment, especially using energy devices such as a VASER. In your case, we cannot make an assessment without seeing quality pictures. To make an assessment on the outcome of a plastic surgery operation we need to see proper before and after pictures. If you don’t have a proper before, and after pictures then ask your surgeon to forward the ones they took. I think you are an excellent candidate for a Arms Liposuction, but I will warn you that unless you choose your provider correctly results do not necessarily look good. You should not have an arm lift because it gives an unforgiving visible scar and you don’t have that much skin laxity. Well done Liposuction should give you a phenomenal outcome. Finding a provider who can do the job correctly is another story. There may be other parts of your torso that were also left untreated from your first procedure, where you might benefit from having some further liposuction, to create a harmonious even thin fat distribution. Continue having consultations until you feel very confident you found the most talented and experienced provider for Liposuction. during consultations they should show you a collection of before and after pictures this seems like it goes on forever. Look carefully at all after pictures to make sure there are no skin contour irregularities in any of the treated areas. Confirm with the providers exactly what areas were treated and what areas were not treated and make sure transition zones between treated and untreated areas look very natural. Best, Mats Hagstrom, MD