Is this swelling in mons & abdomen or do I need Lipo? TT MR & Lipo to flanks on 4/4/19. Have open wound on wound vac.

Hello,
Great question. Thank you for your pictures. However, you are still early in your recovery process. It may take up to 6 months to see final results. Keep following up with your surgeon. 

This needs a revision procedure, I suggest seeing an expert.
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.

Thank you for your question and photos. Based on your preop photos, you were not a good candidate for a tummy tuck. Hence the long scar that travels 3/4 ways around your torso and still have “dog ears”. If you were my patient, your body contouring would’ve been done in too stages. Yes, some would say, but that is two operations. Well, here you are after one with an expected wound complication and will need further surgery to improve your shape and try to create a more feminine figure. I, personally would have done liposuction 360 degrees with possible fat grafting ( no back view) and a TT 4-6 months later with a low pubic bone level incision which is 1/2 as long as your incision now.At this point, you need to wait 6 months or longer especially since you had a wound vac and lots of scarring. Once your body is ready, you will need liposuction 360 degrees, fat grafting to shape the buttocks and possibly excision of the dog ears. Good luck with your healing.