What are my options to fix poor liposuction job on abdomen please?

Question

I had fat harvested from my abdomen for breast transfer. However it ruined my abdomen, leaving me terribly uneven, with dents, hollows and loose skin. So regretful. Before and after photos attached.

Daniel Barrett, MD · Answer

Dear RealSelfMember0031102,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You could consider a tummy tuck to remove the excess skin or try the much less invasive radiofrequency skin tightening like ThermiTight. You might also want to add the micro-needling radiofrequency treatment like Secret, to boost the treatment.  You did not have much for a fat transfer and your surgeon was trying to harvest all the fat possible. Implants might have been a better option for you.

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

Delivering consistent quality Liposuction and fat transfer results is more difficult than most people believe. I continue to encourage people to carefully vet plastic surgeons before undergoing these procedures to verify their skill and experience.

In your case it’s a little late for that now but in general I recommend patients have multiple in person consultations at which time I recommend they ask the provider to show their entire collection of before and after pictures.  it’s especially important to ask providers to show examples of good results, average results and less than results. An experienced provider should have no difficulty showing you 50 or more sets of before and after pictures and this confirms that they have at least a moderate amount of experience.  highly experienced providers will have hundreds or even thousands of abdominal liposuction before and after pictures.

You may not have been an ideal candidate for Liposuction in the first place and that combined with someone who lacks skill and experience ends up leaving a poor aesthetic outcome.

Liposuction is a permanent and irreversible procedure. Poor results are sometimes treated with revision liposuction, fat transfer and sometimes converting the procedure to a skin tightening procedure like a full tummy tuck.  Converting this to a full tummy tuck may be an option for you since you seem to have skin laxity that I believe was at least moderately present on your before pictures.

There’s no easy fix for this though improvements can be had depending on circumstances and who does the work.

Often it requires multiple revision procedures but sometimes it can be done in a single procedure.

Without converting this to a full tummy tuck your chances of having a pre-procedure looking abdomen is unlikely.

Still, the problem is an uneven fat distribution and excessive removal of subcutaneous fat.

A tummy tuck treats skin laxity but does not treat uneven fat layers or the excessive previous removal of fat.

In the end your surgeon is responsible for the outcome of your procedure and you are responsible for choosing that surgeon.

Revision work is more difficult than primary Liposuction so take that into consideration if you plan on having any revision surgery.

Best,

Mats Hagstrom MD

What are my options to fix poor liposuction job on abdomen please?

Answers (4)

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