Bulges and swelling from c-section - would Vaser Liposuction or Laser help smooth my stomach? (photo)

Question

2.5 years post c section and bulges and slight swelling above c section havenever gone away despite massages and exercise. There’s days where it will swell and look bigger than others and it changes the appearance of my stomach when I sit and in tight clothes .. was told a scar correction would be possible but can’t guarantee that the scar will be as neat. Would laser lipo or vaser help smooth my stomach or will it make the contour or my stomach worse. Thanks

Jason Emer, MD · Answer

In truth, non-surgical options give only mild improvement compared to surgical lifting. Skin tightening can be done with a combination of Vanquish, truSculpt iD, Venus Legacy, Exilis, Cellutone/Zwave. However, for best results, a Tummy Tuck procedure can be combined with a high definition procedure at the same time. For best results, I recommend VASER HI-DEF Liposuction with ThermiRF, Renuvion, InMode BodyTite and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi-definition physique expert. Best, Dr. Emer​​

Navjot Singh, MD, FACG · Answer

Vaser Liposuction will not address you scar. It would simply remove the fat that is present in your abdomen without affect on the scar. A scar revision would be appropriate if you have completed your family.

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

The best technique for you is to consider a C-Section scar revision and VASER liposuction to improve the contour.
The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is 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

If the contour is related to subcutaneous fat the liposuction can correct the problem.

If the contour is related to underlying muscle while the liposuction will be limited in what it can do for you.

To differentiate the muscle wall versus subcutaneous fat simply pushing with your finger tip until you feel the muscle while and follow it up and down your abdomen. If you feel the muscle while bulging out then it’s your muscle wall.  If you feel the subcutaneous fat layer gets thicker in the area then it’s subcutaneous fat.

It doesn’t matter what form or what brand Liposuction equipment is used to.

What matters is understanding the primary ideology of your abdominal contour and doing the correct procedure correctly.

Your scar doesn’t extend to the area of swelling so I don’t think eschar revision is going to have any impact.

Overall you are a slim with a thin layer of subcutaneous fat so based on that I think it’s more likely this may be the shape of your muscle wall.

It shouldn’t be difficult for an experienced plastic surgeon to differentiate what is causing your abdomen  to have that shape.

Best,

Mats Hagstrom MD

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photo, I note minimal fat repositories in the suprapubic area.
You appear to be a potential candidate for a conservative vaser liposuction.
Liposuction involves removal of fat through small pipes (cannulas) placed under the skin under extreme vacuum after pretreatment with an infusion of solution containing a blood vessel constrictor (to prevent bleeding) and an anesthetic (if performed awake). Augmented liposuction utilizes laser energy or ultrasonic energy to semiliquify the fat, making it easier to remove and adds a subtle skin tightening effect..
In general, the experience of the surgeon is more important than the type of instrument utilized.
I recommend you visit a plastic surgeon with considerable liposuction experience and allow him / her to use the instrument with which he / she feels most comfortable.
Best wishes...

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