What can I do to fix bad/uneven lipo 360? (photo)

Although your belly looked smooth in the before photo, your results indicate you have stretch marks and likely a prior pregnancy. This tells me that you needed an tummy tuck as well to achieve the results your were hoping for. Yes, you'll need a revision lipo and bbl too. My suggestion is to see some specialists in your area. Honestly, surgeons that do this well cost much more than $8000, and revision surgery is even harder and more costly.

Dear sarina88,
I would have to examine you but it appears that this is a contour irregularity after liposuction. This happens often when areas the undergo liposuction are not feathered appropriately.
The good news is that it can be fixed and I have done so with good results before. While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result. I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

easy fix! just needs liposuction with internal heating and skin removal. consult us!


my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

To be very transparent, your results are acceptable though not perfect. The issues are if additional surgery can improve? That is a risk but only an expert in lipo revisions and at least a boarded Plastic Surgeon should be chosen. You chose a NON Plastic Surgeon! at a very shady clinic. I would use the S.A.F.E. lipo techniques to try to correct the fibrosis along with superficial liposuction. Fees at $6,000 for 360 revision.

Based off the photos provided, you are an excellent candidate for liposuction revision. 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

Correcting poorly done Liposuction is difficult and sometimes not possible. This is especially true for those who been over treated.

It’s a little hard to tell from your pictures but it looks like you may have been a better candidate for a tummy tuck in the first place. One option for sure is to convert this to a full tummy tuck. That is especially an attractive option for those who have a disfigured lower abdomen from Liposuction and have sufficient or excessive skin laxity who would benefit from a full tummy tuck in the first place.

The other option is revision Liposuction trying to even out the results. This tends to work reasonably well on patients who were not over treated and simply under treated.

It looks like the central upper abdomen was over treated in your case in an attempt to create some type of definition. I’m not sure if your surgeon was trying to do high definition body contouring which I do not recommend.

To get an accurate assessment you absolutely need in person consultations.

Considering that revision or secondary Liposuction as many times more difficult than primary Liposuction you can understand yourself the importance of selecting your surgeon very very carefully.

Make a long list of providers in your area who seem to have an expertise or exceptional reputation for Liposuction procedures and start having in person consultations.

To get the best outcome I suggest the following.

Avoid traveling long-distance is for elective surgical procedures.

Rely on in person consultations.

Schedule multiple consultations with surgeons in your area who have a good reputation for the procedure you’re interested in.

During the in person consultation to ask each surgeon to show all of their before and after pictures of the procedure you’re interested in. The goal is not to see the best results of their career but to see what average results look like and get confirmation of how many of these procedures that surgeon has performed. Ideally the surgeon should be able to find before and after pictures of patients who are very similar body shapes and contours to your own.

And experienced plastic surgeon should have an abundance of before and after pictures. A highly experienced plastic surgeon will have several hundred or even thousands of before and after pictures for each procedure.

Read all the reviews on various physician review websites avoiding providers with any significant number of justified negative reviews.

Organic unmanipulated reviews tend to follow fairly equally among different review websites. Those with an excessive number of positive reviews on a single website may be a telling sign of aggressive marketing.

The presence of justified negative reviews can be more important than an abundance of positive reviews.

Don’t schedule surgery during the consultation.

Give yourself time to think about important decisions like permanently and irreversibly changing your body.

When in doubt slow down and schedule more consultations.

The outcomes of this procedure are all over the place based exclusively on the skill and experience of the surgeon.

Best,

Mats Hagstrom MD