Thanks for the question and photo. I am sorry you did not get the results you were looking for. As you point out in your question, your abdomen has many hills and valleys, or "contour irregularities." This can happen with any liposuction system on the market and occurs for several reasons. If the results always looked like this (even from 1 month post-operative), then it is likely that the remaining fat layer was not smooth and even to begin with. If this is something that has become worse in recent months, then it could be from a change in weight since the procedure. Either weight gain or weight loss can make irregularities worse, because small differences in the thickness of the fat layer become exaggerated with weight gain (or loss), as the fat cells remaining will enlarge. Therefore, where you have a thicker layer of fat to begin with; with weight gain, it gets even thicker. Another factor that can compound this is skin laxity, which can result from pregnancy or massive weight loss, or just time, gravity, and genetics. Skin with stretch marks usually will not contract well, or will contract better in some areas and worse in others. This can also give the appearance of contour irregularities, even where the fat layer is smooth and even. One of the advantages of Vaser over other types of liposuction, is that by emulsifying the fat with the Vaser before performing liposuction, the risk of contour irregularities is reduced.So, how do you get rid of this look? I have had a lot of experience in revising liposuction messes from other doctors and I will tell you that it is unlikely that this can be 100% "fixed," or smoothed out so that you have none of those hills and valleys, but it can definitely be improved. You will get different opinions from different surgeons, but here is how I would go about it: I would basically repeat the abdominal liposuction, only without the suction part - and Vaser is great for this - but with the goal of not removing fat, but liquifying it and maybe removing a small amount sterilely, so that it can be re-injected into the deeper valleys. I would recommend following that up with something for skin tightening. In my office, we use Thermi250, but there are other devices that can do this.
