Can I get lipo with J-Plasma after botched traditional lipo? (Photo)

this will need revision liposuction + renuvion and tummy tuck to improve.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).


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.

further liposuction with j-plasma is more likely going to make things worse than better.

it's hard enough to take an even smooth contour and leaving it even and smooth with liposuction.

taking an uneven surface and making it into an even surface is many times more difficult and often at not at all possible.

your best option may very well be to convert this to a full tummy tuck.

that is a particularly good option for those who are good candidates for a tummy tuck and the worst part of the bad liposuction is of the lower abdomen.

correcting poorly done liposuction especially in those who have been over treated is difficult and often not possible.

I cannot emphasize enough the importance of choosing the best plastic surgeons for liposuction and confirming the competence of the provider by having in-person consultations and asking the provider to share all of their before and after pictures with potential patients during the consultation.

in addition I recommend reading all the reviews on all the various position review website avoiding providers that have any significant number of Justified negative reviews. the presence of Justified negative reviews are far more telling than an abundance of positive reviews.

I would also encourage you to share your story with other prospective patients so that other patients can avoid making the same mistake. It's important to follow up with your provider so that he or she knows the outcome of the surgery and can make changes to avoid the same thing happening again.

liposuction May perhaps be the easiest cosmetic surgical procedure to perform but it turns out to be one of the most difficult to perform well on a consistent basis.

always insist on an experienced board certified plastic surgeon.

Best,

Mats Hagstrom, MD