What will fix the dimples all over my back and sides after an extended tummy tuck with lipo? Can I get implants? (Photos)

Question

I had an extended tummy tuck, breast lift with GalaFlex, lipo on back and flanks in June 2020. I am not satisfied with the results. I have dimples all over my sides and back where lipo was performed. My breast are still saggy and I am it sure if I need a revision or an entire new procedure. My Dr has recommended a breastlift revision and weight loss as a solution. I don't believe weight loss will give me the results I am looking for. Can my back and flanks be improved in any way?

Daniel Barrett, MD · Answer

Dear SandJplus2,
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

Casey Anderson, MD, FACS · Answer

It's very reasonable to get an implant after a lift if you are not satisfied with the shape. It is actually fairly common unfortunately.

I would additional liposuction but with VASER to help give you a better contour and smooth things out.

As always, be sure to research who performs your surgery to ensure the best likelihood of a positive result.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. It seems like you can benefit from a liposuction and breast lift revision. I recommend you to schedule an email or Skype consultation with a board certified plastic surgeon.

Gary M. Horndeski, MD · Answer

Your breast lift was inadequate and the only thing that was elevated was your nipple-areola complex but not your breasts. All the breast tissue is lying at the bottom despite the GalaFlex. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery. You will also benefit from a circumferential lift to continue the incision plus to take care of the excess back skin.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

George Marosan, MD · Answer

Thank you for your question and photos. You were 3 inches away from a lower buttock/body lift. This would've taken care of most of your back dimpling. You also had a standard tummy tuck with no abdominal definition and poor liposuction technique of the back. BTW, your breasts are bottoming out.
I see why you are dissatisfied with your results. There has been a paradigm shift in body sculpting surgery, but this learning curve is steep and long and most surgeons do not want to put the effort in to create natural hourglass bodies without the stigmata of surgery. Although you do show some waist definition from behind, anteriorly you have a rectangular shape and a full abdomen. If you were my patient, I would do VASER Hi Def Lipo 360 degrees, +/- fat transfer to the buttocks to create an athletic hourglass feminine figure.
See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Connie Hiers, MD, FACS · Answer

Radiofrequency treatments like ThermiTight can help to tighten the loose skin and improve your results. You also could get benefit with micro-needling with radiofrequency treatments like Secret as well. Endomologie treatments could also be helpful.

Frederic H. Corbin, MD (license restricted) · Answer

Sorry for your problem and the removal of fat from the back has exposed skin laxity present prior to the procedure. Your breasts can be revised. So see some other experts in the area and compare recommendations after a full examination and discussion of desired results

Dr Corbin

Dr Corbin

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