Do I need a second round of lipo to get rid of fibrosis or will exercise help? (Photos)

Question

Got a BBL 2 years ago. I’m scared to get a second round of lipo and still have those dents and balls of fat. Please help.

Ryan A. Stanton, MD · Answer

Believe it or not, abdominal contour irregularities following liposuction typically get worse not better with more liposuction. Although exercise and weight loss late minimize the high points by reducing those intervening pockets of fat, believe it or not, fat transfer back in to the abdomen is usually the better option in to fill in the low points. Glad to be of help.

Luis A. Mejia, MD · Answer

Hello dear, Thank you for the question and great photos.. after analysing your case.. I can say you're a good candidate for a VASER Liposuction, this would fix your problem, give you great results and improve the look of your belly.Benefits of Vaser Lipo:* Increased skin retraction.* The side effects of the intervention are less than those that can occur in a conventional liposuction.* Faster recovery.* Greater precision: it allows extracting more volume in small areas, such as thighs, jowls, flanks, buttocks ...* Acts on the area without damaging surrounding tissues* Helps tighten the skin.

l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Best of lucks!!
Dr. Luis Mejia.

l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Best of lucks!!
Dr. Luis Mejia.

Kenneth Hughes, MD · Answer

Fat transfer to dents along with scar therapy would likely improve the current results. If the lumps and bumps are areas of excess fat,  dilute steroid injections could possibly be used to cause fat atrophy. They might also benefit by spot liposuction reduction. If the problem is that the lumps and bumps are normal and the areas between them are deficient, then fat injection grafting is the treatment of choice.
Consult with a board certified PS for an evaluation and discussion of your options.

Daniel Barrett, MD · Answer

Dear deliaaboo9,
I would have to examine you but it appears that this is a contour irregularity after liposuction.  This happens often when areas the undergo liposuction are not feathered appropriately. The good news is that it can be fixed and I have done so with good results before. 
While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

John L. Burns Jr., MD · Answer

Secondary liposuction using either laser assisted or ultrasound assisted techniques might help.  The laser or ultrasound would help break up scar tissue.  Post procedure it is necessary to wear compression for several weeks and consider doing a series of post liposuction Endermologie treatments to smooth out the skin.

Mark A. Schusterman, MD, FACS · Answer

Thank you for your question.  Unfortunately  exercise alone will not get rid of the waves and bumps in your abdomen.  You would need to get revisional lipo to smooth things out.  It is not uncommon for revision to be done after liposuction.  Check with your plastic surgeon for more information.

Arian Mowlavi, MD, FACS (license on probation) · Answer

This can likely be corrected using high definition VASER liposuction. The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

unfortunately it’s going to be very difficult and may not be possible to create an even contour from your first liposuction procedure.it’s hard enough to maintain a smooth even contour when starting with one. Starting with a lumpy contour and making it smooth is almost impossible.Avoid providers offering to break up scar tissue using energy devices like VASER.This can definitely be made worse with further Liposuction. Usually there’s room for some improvements but it depends on each individual patient. Patients who were over treated and treated in an uneven fashion tend to be the most difficult to correct.Unfortunately your provider didn’t do the Liposuction part as nicely as it could have been.It’s hard to recommend having a revision or not. For sure it should not be done by anyone other than someone who has years of experience with thousands of cases under their belt and a proven track record of high quality Liposuction.You can always having a few in person consultations. Be careful with providers who are overly optimistic in regards to saying this is easy to fix.Exercise will not change your fat distribution and will not even out your lumpy abdomen.Your skin contour is a direct reflection of how the liposuction was done. Unfortunately it was done unevenly.Best, Mats Hagstrom MD

Manuel Belen, MD - Account Suspended · Answer

Hello,
  
Thank you for sharing the information, it is a pleasure for me to answer your question.
  
 Definitely the most appropriate is to start (tummy tuck, liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body.
It is advisable to consult with a certified plastic surgeon, for a good evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.
  
I hope this answer will help you
  
My best wishes for you...

Do I need a second round of lipo to get rid of fibrosis or will exercise help? (Photos)

Answers (9)

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