What can I do to get a more flat stomach after BBL? (Photo)

Question

I(33f) got a bbl with a 360 lipo done on 15 aug 2023. They removed 6.3 l fat, and enjected 650 in each cheek. I am very unhappy with my result, there is areas on my stomac that is completely flat and then there is these fat pockets, centered around my navel. I did expect loose skin because of weight loss earlier in life, but these pockets make my stomac look so wobbly. Now on the 6 months mark, what can I do? Is there any kind of non surgical like massage, light therapy or something? Thank yo

Zoran Potparic, MD · Answer

It is not unusual to have irregularities after such a massive liposuction (6,3 l). You should wait at least one more year and consider additional liposuction with minimal fat removal mostly directed toward addressing irregularities and lumps. You need a true expert for this part. Good luck.

Daniel Barrett, MD · Answer

Dear bslsjrvvft,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ajaya Kashyap, MD · Answer

Thank you for your query. There is certainly some unevenness to your stomach which can be improved with some careful micro-liposuction of the fat pockets and fat injections in depressed areas. A careful examination is needed to see if there is muscle weakness as well. Having said that, it is still early and your skin will remodel over the next six more months or so. Massages and other treatments can help. Please discuss your concerns with your Plastic surgeon who can help you. All the best!

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Based on your photos you appear to be a good full body intense liposuction candidate including abdomen, waist, laterals and upper and lower back to improve your body contour and get better curves, especially in your waist area, and adding the J-plasma will be good to improve results with the skin quality. Finally, the obtained fat can be prepared to be transferred to your butt and hips to improve volume and projection

Kind regards, Dr. Emmanuel Mallol Cotes.-

Kind regards, Dr. Emmanuel Mallol Cotes.-

William Aiello, MD · Answer

This is a great question.

Based on your pictures, it looks like you have significant amount of irregularities on your abdomen after your procedure. This often happens when the surgeon does not equalize or ‘post-tunnel’ after liposuction. Unfortunately, it’s already been too long to fix this with massages. There is solutions to fix this surgically and if you’re interested, call her office and schedule a consultation and we’re more than happy to help you out. We use a 3-step process of separation, aspiration, and fat equalization, which is a highly effective procedure used by some of the most accomplished board-certified plastic surgeons throughout the world.

Mats Hagstrom, MD (license on probation) · Answer

The number of plastic surgeons who truly mastered liposuction and fat transfer is fairly small.
Unfortunately, there is a high percentage of plastic surgeons with all the right credentials simply aren’t good at this procedure.
Correcting poorly done, Liposuction is difficult, and sometimes only partial improvements are possible.
The most difficult situations to correct Typically involve overly aggressive Liposuction during the primary procedure that was done, leaving patients with an uneven, fat distribution.
The more fat that was removed during the primary procedure the less tissue there is to work with to even things out.
I cannot emphasize enough how difficult it is to try to improve badly done Liposuction in a meaningful way.
 This type of work should only be done by those who have a proven track record.
The best plastic surgeons to do revision work are usually the same providers who do the best primary procedures.
There is no non-surgical treatment to correct, uneven, fat, distribution, created by Liposuction.
 Find the right provider I suggest patience look for plastic surgeons, whose practice is focused, heavily or preferably exclusively on liposuction and fat transfer.
Look for providers who have a minimum of one decade of experience doing these procedures.
During each consultation ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who have similar body characteristics to your own.
Bring pictures of yourself to use as reference when reviewing before and after pictures.
An experience provider should have no difficulty showing you the before, and after pictures of at least 50 previous patients.
Being shown a handful of pre-selected images, representing only the best results of a providers career is insufficient to get a clear understanding of what average results look like, what your results are likely to look like or how many of these procedures that provider has actually done.
 There’s no correct number of consultations needed to find the best provider.
The more consultations you schedule the more likely you are to find the better provider. considering how much variation there is in skill among plastic surgeons for liposuction and fat transfer I recommend patient schedule at least four or five consultations before selecting a provider.
The biggest mistake patients make is scheduling only one consultation which more or less eliminates the ability to choose the better provider.
I do not think you can select providers correctly Using Internet search options only.
Take notes during each consultation, especially regarding the quantity and quality of before and after pictures.
I cannot emphasize enough the importance of provider selection for any plastic surgery operation, but especially liposuction and fat transfer.
Despite these being commonly performed procedures that most plastic surgeons have done many times the number of plastic surgeons who take the procedure seriously and commit to actually mastering this craft is Very low.
Most plastic surgeons typically aren’t very good at Liposuction.
I’m sorry you find yourself in this situation.
There is definitely room for improvement on your outcome both in regards to what your abdomen looks like and your entire body, including the BBL outcome, which can easily be improved as well.
The key is to find the right provider and doing that turns out to be far more difficult than most people realize.
I suggest you take six months to look for the right provider to help you correct the outcome so you can move forward.
Recognize that attempts and improving the Out, with revision work, can variously make things worse if not done by someone who is truly excellent at this type of work.
 I’m sorry you find yourself in this situation and wish you all the very best and finding the right provider for your needs.
What happened to you is unfortunately all too common.
Best,
Mats Hagstrom, MD

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