Dents and unevenness 6 months post-Vaser. What can improve this? (photos)

Question

Hi , I had vaser liposuction 6 months ago, flanks, stomach. Looking for a second opinion. Discussed with my surgeon this result below, I didn't feel like I got a clear expectation of improvement/causes. (Followed aftercare carefully.) I was given home treatment to try like rf machine and microneedling, which I don't feel equipped to carry out. I'm unhappy about the outcome, looking at other suggestions to fix or improve this. 29yrs, dont drink/smoke. 159cm,  52kg. Thanks

Harry T. Haramis, MD, FACS · Answer

Some temporary firm spots, uneven areas common after Vaser ultrasound liposuction. It’s part of the healing process and can take upto 1 year to settle.

Unfortunately, the abdomen shows every spot and is prone to daily movements of torso, clothing digging in when sitting, etc.

Everyone heals differently, continued gentle massage, compression and time will usually improve the area.

If these contour issues persist, rarely some treatment may be indicated. Revision too early can start cycle over again and may be detrimental.

Continued close follow up with your plastic surgeon is recommended during this time.

J. Timothy Katzen, MD, FACS · Answer

Hi Alex9488, 
Thank you for your question regarding dents and unevenness six months post-VASER liposuction and what can improve this. Thank you for your history and your pictures. 
Indentations, waviness, and unevenness of the skin are the most common complications after any type of liposuction, including VASER liposuction. To minimize dents and uneven skin after liposuction, it is very important for you to wear four layers.  Your first layer should be liposuction foam.  Your second layer should be an abdominal board.  Your third layer should be your medical-grade compression garment.  Your fourth layer should be a foam vest created just for VASER liposuction patients made by Medical--Z. You should use the foam, abdominal board, and vest for the first two weeks.   You should wear your compression garment for 6 to 8 weeks after surgery.  At the two-week mark, it is also very important to start lymphatic massage and continue for several weeks.
Before you undergo another liposuction surgery, I would exhaust conservative measures. This should include deep tissue massage, cavitation, magnetic therapy, and micro-current.  If these measures do not resolve your issues and it has been at least eight months after your VASER liposuction, then I would consider revision.  
The indentations and dents that you have are due to scar tissue and loss of fat in these areas. During your VASER liposuction revision, areas of scar tissue must be released.   I would suggest combined VASER liposuction and scar release to the areas of scar tissue. In addition, I would also suggest fat grafting to fill in areas of severe indentation, which may not respond to the scar release.  Please be aware that VASER revision surgery is very difficult to fix. You need to go to a specialist.
Also, you may need several surgical revisions to achieve optimal results.   Good luck.  I hope I have answered your questions about dents and unevenness six months post-VASER liposuction and what can improve this.

Babak Moeinolmolki, MD, FACS · Answer

The definitive correction for you is the modified abdominal skin resection which will eliminate skin redundancy and allow you to perform VASER liposuction to redistribute the fat you have into a smoother appearance. Please consider a virtual consultation with a high definition body contouring provider.

Anuj Purbey, MBBS · Answer

I'm sorry to hear about your dissatisfaction with the results of your Vaser liposuction. It's understandable and advisable to seek a second opinion to explore alternative solutions. It's crucial to communicate openly with your surgeon about your concerns and expectations. They should provide clear explanations regarding the outcome and potential causes, as well as offer viable options for improvement.
If you feel unequipped to carry out the recommended home treatments like RF machine and microneedling, you should discuss this with your surgeon. They may be able to suggest alternative treatments or provide assistance in finding a suitable solution that aligns with your needs and preferences.
Additionally, consulting with another experienced surgeon for a second opinion can provide valuable insights and potential alternatives for addressing your concerns. Make sure to communicate your specific goals and concerns clearly during the consultation process.
Ultimately, the goal is to find a solution that addresses your aesthetic concerns and restores your confidence.

Arif Eroglu, MD · Answer

Thank you so much for your question and providing the photos. In the second photo, there is fibrosis due to excessive fat removal (overcorrection) and laxity in the upper abdominal skin and collapses in the skin. To correct the laxity, 3 sessions of Morpheus 8 radiofrequency can be performed on the upper abdomen with 1 month intervals. I recommend manual massage and Morpheus 8 radiofrequency to reduce fibrosis. To correct collapse areas, I recommend either micro fat injections or lanluma or sculptura injections.
Kind Regards

Dents and unevenness 6 months post-Vaser. What can improve this? (photos)

Answers (7)

Answer: Seeking Solutions Post Vaser Liposuction

Answer: Seeking Solutions Post Vaser Liposuction

Answer: Morpheus 8 & Sculptura injections.

Answer: Morpheus 8 & Sculptura injections.

Recommended reading

Everything you need to know about Vaser Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.

Dents and unevenness 6 months post-Vaser. What can improve this? (photos)

Answers (7)

Answer: Seeking Solutions Post Vaser Liposuction

Answer: Seeking Solutions Post Vaser Liposuction

Answer: Morpheus 8 & Sculptura injections.

Answer: Morpheus 8 & Sculptura injections.

Browse related questions

Recommended reading

Everything you need to know about Vaser Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.