What are my options for getting rid of this loose skin after 360 lipo?

​Without examining you it is difficult to be certain but based on the photos it looks like a no-drain tummy tuck with revision of the liposuction would correct your concerns. The excess skin on the back may respond to a tightening solution like renuvion potentially but the quality of the skin would have to be examined in person. I’d suggest having a consultation with a local plastic surgeon with expertise in revision abdominoplasty to be examined and get a better sense of what your options are. Hope that helps!

Thank you for your inquiry! To answer this question with accuracy, we would need to see you in person or as a virtual appointment. We would love to meet with you to discuss your options and create a surgical plan. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Thank you for your question regarding loose skin after 360 liposuction. I appreciate your history and your pictures. Based on what you are describing, it sounds like you were left with excess, loose skin following your liposuction procedure. Unfortunately, when fat is removed through liposuction, the skin does not always retract as expected, especially if there was preexisting skin laxity. The only definitive way to remove this excess skin is through a surgical excision, such as a tummy tuck or 360 circumferential lower body lift if your hips and buttocks are also affected.

A tummy tuck (abdominoplasty) removes excess skin from the lower abdomen while also tightening the abdominal muscles, which can improve the contour of your midsection. If your skin laxity extends to the hips, flanks, and lower back, a 360 lower body lift may be the better option, as it removes excess skin circumferentially, lifts the buttocks, and tightens the waist.

If you do not want a surgical excision, another round of liposuction combined with skin-tightening treatments like VASER liposuction and radiofrequency (RF) therapy may help. VASER liposuction breaks down fat while stimulating collagen production, and when combined with RF, it can enhance skin retraction. However, while these non-surgical methods may provide some improvement, they are unlikely to fully correct significant skin laxity the way a tummy tuck or body lift would.

If your back has also been affected by skin laxity after liposuction, and you now have excess skin folds or rolls, a horizontal torsoplasty (bra strap lift) may be necessary. This procedure removes excess skin from the upper back with an incision hidden along the bra line, creating a smoother and more contoured back. If you are considering a 360 lower body lift, it is possible to combine this with a torsoplasty in a single operation to maximize your results.

I understand how frustrating this experience must be, and I strongly recommend consulting with a board-certified plastic surgeon who specializes in body contouring after weight loss or liposuction. They will be able to assess the extent of your skin laxity and determine whether a tummy tuck, lower body lift, or additional liposuction with skin tightening would be the best approach for your goals.

I hope this helps answer your question regarding what can be done to correct the loose skin after 360 liposuction. Best of luck on your journey, and I encourage you to seek out an experienced surgeon who can provide you with the best possible results.

Sincerely,
Dr. Katzen