Is it possible to fix my overdone liposuction and what is the best treatment? Fat grafting? (Photos)

Question

Hello dear community! Thank you in advance for your time and advice. 1 year ago I had an liposuction...and result is really bad, pictures are attached. Overdone...What do to? Revision lipo? Fat grafting?...my main goal now-eliminate as much as possible these awful holes..it looks so rude...Especially my right side...

David Hansen, MD · Answer

This is fixable but needs to be done under tum. local with the micro cannulas. Since you are awake and comfortable, I would stand you up occasionally during the procedure to fine tune the results so you don't get these irregularities which you do get when you can't stand the patients up during gen. anesthesia with the big cannulas. There may be some need for fat grafting but probably not with all the smoothing out that is needed around the areas.

Kenneth Hughes, MD · Answer

Thank you for your question and pictures, I would recommend Bodytite to smooth out and tighten the area. Always see a board certified PS.

Rodrigo Rosique, MD, PhD · Answer

Dear, based on your photos, it seems that your saddlebags were liposuctioned too superficial and the resulting scaring resulted in superficial irregularities. To improve your outcome, the scaring tissue should be released intraoperatively associated with a thin layer of the fat graft to turn the surface smooth.

Jason Emer, MD · Answer

For best results, I recommend a hi definition procedure like a VASER liposuction revision with ThermiRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned and even result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

Marcus L. Peterson, MD · Answer

Thank you for the photos.  The photos shows liposuction contour irregularities.  The hardest areas to fix are the ones that are most depressed.  These areas can be improved with revision liposuction where the areas are sculpted with a liposuction cannula that is not on suction.  This will reduce the high areas and move fat to the low areas.  You will also need some fat grafting to the low areas.  Following the procedure you will need to keep smooth even compression on the area.You may not get perfection with the first revision but it will look a lot better.  Make sure to review your needs with a plastic surgeon that is experienced with liposuction and fat grafting.Best WishesDr. Peterson

Darryl J. Blinski, MD · Answer

Without in person examination my over the Rs internet guess would be a combination of lipo in any donor areas with Sculptra series of injections. This will be quite expensive in the $10,000 to $20,000 ranges.

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

The definitive correction for liposuction deformities involves the advanced technology of ultrasound assisted VASER liposuction. As an official trainer for VASER liposuction, I encounter botched liposuction results weekly. VASER liposuction is the only modality to ensure a smooth contour regardless of severity in contour abnormalities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. 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

Is it possible to fix my overdone liposuction and what is the best treatment? Fat grafting? (Photos)

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