What could I do to flatten my abdomen from uneven BodyTite procedure and hard belly button scar tissue? (photos)

Question

Hi there. I had BodyTite done 2 years ago on my abdomen. The area around my belly button is hard and lumpy. Especially the left side rises higher. I am embarrassed to show my torso because of all the blunt lumps. What procedure would help even out my abdomen? Are there laser treatments that could break up the scar tissue?

Gary M. Horndeski, MD · Answer

You have excess skin as you can see by the hooding of your umbilicus. The only technique to correct this would be to resect some of the skin envelope and this would require a tummy tuck, possible a mini tummy tuck.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Jason Emer, MD · Answer

there are a few ways to make this look BETTER -- trusclpt ID/flex and RF treatments, or microliposuction.  however the way to actually REPAIR this and make it looks much better is revision liposuction with a tummy tuck. this really needs a revision procedure by an expert.

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.

Daniel Barrett, MD · Answer

Dear Enthusiastic444254,
it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

I’m guessing most likely you had liposuction done at the same time. It’s pretty rare that someone just does bodytite.

The outcome looks like a poorly done Liposuction possibly with the use of a power assistive device such as VASER.

However this type of outcome could be achieved with any form of Liposuction.

Treatment options are most likely going to be revision Liposuction to even out the contour irregularities.

Correcting poor outcomes from previous Liposuction is far more difficult than Primary Liposuction.

Taking an even contour and leaving it even is hard enough. Taking an uneven contour and making it even as many times more difficult.
I suggest consulting with highly experienced board-certified plastic surgeons who have very strong Liposuction experience.

I would avoid power equipment such as VASER Though somebody who is highly experienced could probably do a fine job with that equipment as well.

It’s certainly possible that revision work can make things worse so please choose a provider carefully.

Best,

Mats Hagstrom MD

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