How do I fix the dents in my thighs after lipo in May?

Question

I had my inner thighs liposuctioned for fat transfer, but I didn't want them liposuctioned. I was only convinced after being told numerous times that I didn't have enough fat on other parts of my body. Now my inner thighs appear extremely irregular and I don't know how to fix it. The surgeon suggested endermologie. What do you think?

Mats Hagstrom, MD (license on probation) · Answer

I think you chose a plastic surgeon who is incompetent at Liposuction.
Unfortunately, this happens much more frequently than people realize. Delivering consistent quality, liposuction and fat transfer results is far more difficult than most people realize. The number of plastic surgeons have truly mastered. These procedures are in a small minority. In reality a lot of plastic surgeons simply aren’t very good at Liposuction and Sam despise doing the procedure and give no credence to it being a sophisticated operation.
Being bored, certified in plastic surgery with years of experience does not mean somebody has mastered anyone single procedure, especially not Liposuction and fat transfer.
Liposuction results should be viewed as being permanent any reversible. While this is not an absolute truth restoring normal contour after poorly done Liposuction is very difficult.
Revision Work is many times more difficult and complex than primary Liposuction. The need to find someone who is truly mastered. This procedure goes without saying. Not only does providers for Revision Work need to have a proven track record with Liposuction but also with fat transfer.
To find the best provider, I suggest patients start the process by having multiple in person, consultations with plastic surgeons in their community who seem to have a great deal of experience doing liposuction and fat transfer. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of the previous patient who had similar body characteristics to your own. an experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. In fact, highly experienced surgeons should have access to hundreds or preferably thousands of before and after pictures for commonly performed procedures like Liposuction. 
Correcting a poorly done, results is usually done with Liposuction, fat, transfer, or a combination of both. For some patience, converting the procedure to a skin tightening operation like a tummy tuck for poor results of the lower abdomen may be a solution. I don’t think that they left is going to be appropriate in your case.
Fat transfer as a method of correcting poorly done Liposuction is inherently complex and difficult because the area that needs volume is now devoid of host tissue to support grafted fat. This means only small amounts of fat will survive in the area where you need it the most. Typically restoration to a normal appearance, requires multiple operations. Recognize that any attempt and revision surgery can easily make things worse if you’re not in the hands of someone who has sufficient skill and experience.
There’s no correct number of consultations needed to find the right provider. The more consultations you scheduled the more likely you are to find the best provider for your needs. Considering how much variation there is a Liposuction skill I recommend patients consider having at least five consultations before choosing a provider for operations, like Liposuction, or fat transfer..
When reviewing fat transfer results, recognize that early fat transfer results can look very impressive, but do not in any way represent final results. Always confirm the timeframe of when after pictures were taken in relationship to the date of surgery. After pictures should always be taken at least three months from the date of surgery in order to be accurate and representative of long-term results.
Considering how difficult revision work is the need for finding someone who is truly an expert in this field is going to require interviewing quite a few providers.
Your surgeons suggestions on how to correct the problem is a clear indication that he or she does not have the skill and experience to do this type of work. The outcome is a direct reflection of poorly done Liposuction. There are no non-surgical treatments that are going to improve your outcome.
I suggest getting a complete set of before, and after pictures from your provider, a copy of your operative report, and begin scheduling in person, consultations with other providers in your community.
Some qualified providers may be apprehensive to take on revision work because it is inherently complex difficult, and sometimes only limited improvements are possible.
What happened to You is unfortunate but it could’ve been avoided by rigorously vetting providers before scheduling surgery.
 I suggest you consider negotiating with your current provider to get a refund of your surgical fees, or at least a partial refund since you’re most likely looking at significant expenses to correct this unfortunate, poor outcome. I’m sorry you find yourself in this situation. I wish I could be more optimistic. Improvements are definitely possible but getting there it isn’t always easy or straightforward.
Best,
Mats Hagstrom, MD

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