Will a revision help with my loose skin after Vaser Lipo? (Photo)

Question

I had a vaser lipo in September 2022. I am now 7 months post lipo. I look terrible. Doctor suggested to get a revision in September, but I am not sure it will help. What can I do with a loose skin? I don’t want to do tummy tuck. Will a revision lipo help me?

Jerimiah Mason, MD · Answer

Based on your photos nothing is likely to improve that loose skin other than a tummy tuck. Poss a mini tuck, but it's hard to say with better photos

J. Timothy Katzen, MD, FACS · Answer

Thank you for reaching out with your concerns about the possibility of revision liposuction to address loose skin after your initial VASER liposuction procedure. Your shared history and photographs have been invaluable in understanding your situation.

Upon analyzing your photographs, it is evident that there are areas of excess fat accompanied by skin rolls. The capabilities of VASER, even on its highest setting, are not designed to effectively address such pronounced skin laxity. The core issue is not simply excess fat, but also the surplus of skin.

Given this analysis, my professional recommendation would not be to proceed with another round of VASER liposuction. Based on my experience, VASER may exacerbate the skin sagging you're experiencing. The most suitable procedure to address the loose skin and provide a taut appearance would be an abdominoplasty, commonly known as a tummy tuck.

It's crucial to approach such decisions with a full understanding of the implications, risks, and benefits. If you're contemplating undergoing an abdominoplasty, I encourage you to consider it thoroughly, consult with specialists, and gather all the necessary information to make an informed decision.

I hope this guidance aids you in navigating your next steps. Wishing you clarity and confidence in your journey.

Sincerely,

Dr. Katzen

Thomas Wright, MD · Answer

A Revision Liposuction may help with the loose skin if it is combined with skin tightening technology like Renuvion [ J Plasma or BodyTight. Liposuction by itself will not result in significant skin tightening.  Of course a Tummy Tuck will give you the most skin tightening, but it will leave a large scar.   Wishing you the best of health.

Arif Eroglu, MD · Answer

Thank you for your question. You do not state your age and whether you have given birth or not. You also do not have a photo of your lower abdomen from the front. According to your side photo, you have sagging in the lower abdomen. If you have given birth and abdominal muscles have separated, you are already not a suitable candidate for laser-assisted Liposuction.
Liposuction in the abdominal area is not like other areas. It is necessary to evaluate both the laxity of the abdominal muscles, the quality of the skin, the amount of fat and the condition of the skin over the belly button. If your skin quality is low and there is excess fat, there is a high chance of sagging skin after Liposuction. If there is also laxity in the abdominal muscles, the problem will increase more. As far as I understand from your photo, you have excess skin in the lower abdomen. If you have abdominal muscle laxity, you will never have a flat stomach unless abdominal muscle repair is performed. The fact that you do not want an incision in the abdomen directs you to alternatives that you will get insufficient results. In your case, if there is no abdominal muscle laxity, abdominal vaserlipo and mini tummy tuck give good results. But if there is abdominal muscle laxity, you can get the best result with Lipoabdominoplasty.

Babak Moeinolmolki, MD, FACS · Answer

What you need to do is to eliminate your skin redundancy that can be achieved only with a small excision of redundant skin along your infra-abdominal incision line. This is called the modified abdominal skin resection. Minimally invasive methods to tighten your skin will not work due to the extent of skin redundancy.

Dennis Wolf, BScHons, MBBCh, MRCSEd · Answer

Revision will not help. There is too much loose skin. This will get worse with little improvement in terms of bulk removal.Skin excision (tummy tuck) is most likely the only option. Skin tightening techniques are not effective for this sort of skin excess.

Anuj Purbey, MBBS · Answer

I'm sorry to hear that you're feeling dissatisfied with the results of your Vaser liposuction. Addressing loose skin after liposuction can be challenging, and it's important to explore your options. Here are some suggestions:
Consultation: Schedule a follow-up consultation with your doctor to discuss your concerns openly. Share your specific issues with them, and inquire about the possibilities and limitations of a revision liposuction.
Consider a Second Opinion: If you have reservations or uncertainties, it might be beneficial to seek a second opinion from another qualified and experienced surgeon. They can provide an alternative perspective and potential solutions.
Non-Surgical Options: While not as effective as surgery, certain non-surgical treatments like radiofrequency or ultrasound-based skin tightening procedures might be considered. These can stimulate collagen production and improve skin elasticity to some extent.
Maintain a Healthy Lifestyle: Regular exercise and a healthy diet can contribute to overall skin health. Staying hydrated and nourishing your body can positively impact skin elasticity.
Discuss Expectations: Have an open and honest discussion with your doctor about realistic expectations. Revision liposuction may help address certain concerns, but it might not fully resolve loose skin. Also it’s important to consult a skilled surgeon who has performed numerous procedures when considering Vaser liposuction. While removing excess fat is straightforward, tightening the skin afterwards can be challenging. Only a highly experienced Vaser surgeon can successfully achieve this.
Explore Other Procedures: If a tummy tuck is not appealing to you, there are other body contouring procedures that focus on skin tightening. These can be discussed during consultations with qualified surgeons.
Remember, every individual's body responds differently to procedures, and there might not be a one-size-fits-all solution. Seeking professional advice and having transparent communication with your healthcare provider will be crucial in determining the most suitable course of action for your specific case.

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment on the outcome of a plastic surgery procedure we need to see proper before and after pictures. If you don’t have proper before, and after pictures and ask your surgeon to forward the pictures they took.
Liposuction removes subcutaneous fat. It is not a treatment for abdominal skin laxity.
The choice of procedures should be based on having a clear understanding of what the underlying problem or ideology is. There are four variables to determine what the abdomen looks like. These four variables are abdominal skin laxity typically related to previous pregnancies or weight loss, excess subcutaneous fat, muscle separation from previous pregnancies and excess visceral or intra-abdominal fat.
Liposuction only removes subcutaneous fat. It does not treat abdominal skin laxity or muscle separation. Individuals who have skin laxity should have a tummy tuck as the preferred procedure of choice.
Patients should not expect fat removal to address skin laxity.
All individuals will have skin redundancy in a sitting position. Abdominal results are not judged with the torso being flexed.
If the first round of liposuction didn’t make you better, then it’s unlikely doing it again. It is going to improve your outcome.
Is your provider a board-certified plastic surgeon? Did they recommend Liposuction or a tummy tuck?
To get an accurate assessment and better understanding of treatment options I suggest having multiple in person consultations with local board-certified plastic surgeons in your community.
Best,
Mats Hagstrom, MD

Will a revision help with my loose skin after Vaser Lipo? (Photo)

Answers (8)

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