Bad results from outer thigh Vaser lipo - what has happened? (Photos)

Question

I had Vaser lipo to contour my outer thighs. The right has definitely reduced in bulk but the left has been left with a weird bulge. What has happened. The consultant is happy to revise but I want to know why I’ve ended up like this?

Mark Edward Hennessy, MD · Answer

The downside of infusing the Tumescent Anesthetic under your skin prior to the Vaser treatment is that there is a large volume of fluid intermixed with the fat cells which makes it difficult for any surgeon to be certain that (s)he has removed the maximum amount of fat from one segment of the body. Also, many surgeons will quantitate the volume of fat removed from one thigh then try to remove an equivalent volume from the other thigh to maintain equilibrium of the natural curves of the female form. Given the fact that it is a localized issue you have several options to "fix" the lack of harmony; Emsculpt, Vanquish, and other non - invasive treatments vs. a revision lipo of the left thigh.

Pranav Shukla, MD · Answer

Hello, after reviewing your pictures it does appear that you have a bulge on the left side. I do not know the detail of your case but there are a few factors that affect the results. 1. Surgeon's experience: This procedure is an art and needs to be done by an experienced and board-certified physician. Poor techniques can ruin the results.2. Aftercare: That includes lymphatic massages, compression garments, etc. It is very crucial for you to understand that you have to get proper aftercare and failure to do these treatments may cause fibrosis and scar tissue and can significantly affect the results. Vaser lipo actually is the best way to perform lipo which breakdown the fat cells without damaging the surrounding tissue, so the patient will experience less pain, bruising, shorter recovery, and amazing results. I hope I have answered your questions. Good luck.

Darryl J. Blinski, MD · Answer

Sorry for your poor lipo results of excess irregular fat with skin wrinkling. Understand it is not the lipo technology used, though I prefer manual small caliber cannulae, it is the end user (the surgeon!). Best to seek in person second opinions from only experts in lipo.

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

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

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

Our extremities are not symmetrical to start with.  I can see a bulge on your left thigh in your before picture.  It’s just above the scale on the floor in the picture you have enclosed.

The fullness may represent the greater truck canter of your femur a skin bulge from how the skin drapes or related to fat distribution.

Pull up on the skin above the area of concern with both hands until your skin is tight while looking in the mirror or have someone else take a picture while doing it.

You can palpate to see if you feel the trochanter of your femur sticking out in that area as well.

If the counter isn’t fat related then doing more liposuction may or may not achieve your results.

Best,

Mats Hagstrom MD

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, I note unevenness of contour of both outer thighs, perhaps partially due to residual fat and partially due to lax skin. 
15% 0f cosmetic procedures can benefit from secondary revision, especially if a significant amount of fat was previously removed. If your previous procedure was performed more than 6 months ago, you should revisit you plastic surgeon.
Best wishes...

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