Can Repeat Lipo Make Legs Look Worse? (photo)

Question

I had traditional lipo on my thighs about 10 years ago. I'm now in my mid 30's. In a surgeons opinion can repeat surgery help the appearance or make it worse?

Raffy Karamanoukian, MD, FACS · Answer

Absolutely. I would recommend the Hidef Liposuction Revision Protocol we have in our office that combines liposuction with lipocavitation, Liposonix, fibrous release, and Brazilian Cellulite Treatment. Best, Dr. Karamanoukian#Realself100 Surgeon

Scott C. Sattler, MD, FACS · Answer

You appear to have some fascial laxity globally along your thighs - the skin is not tightly approximated to the underlying soft tissues. I would be reluctant to offer revisionary liposuction in your case.

Kenneth Hughes, MD · Answer

I may not recommend any surgery at all, but you may be a candidate for liposuction with fat grafting. I would have to examine you in person to know whether or not that would help. Find a plastic surgeon with ELITE credentials who performs hundreds of liposuction and liposuction revision procedures each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

Gavin Sandercoe, MBBS, FRACS · Answer

Hi 9089anon

	You have a difficult problem. Obviously, issues like this will be hard to comment on without a full examination and standardised set of planning photos.

	From your photo it appears that the main issue that you have is contour problems with divots in some areas and lumps in others. The overlying skin does not appear to be tight on the underlying fat at the moment. I suspect that your initial problem may have been cellulite, which can end up this way after liposuction.

	Minimally invasive machines won't work in your scenario, but there will be people that want you to spend money on their expensive machine so they can pay it off.

	Additional liposuction may help, but there will be a risk that it will be made worse. The addition of additional energy (such as ultrasound with VASER liposuction) way also help, but probably increases the risk of additional problems. Your best bet may be liposuction with fat equalisation (or small fat grafts). 

	I doubt that you will ever be fully satisfied with any revisionary procedure, but it can be made better. 

	Good Luck

	Dr Gavin Sandercoe

Vincent P. Marin, MD, FACS · Answer

From your photos, it appears that you might have some excess skin in addition to the fat that can complicate liposuction surgery. You would need to get an in-person evaluation to be sure.

You should see a board-certified plastic surgeon in your area to get a formal opinion through an in-person consultation.

Ramon Navarro, MD · Answer

yes it will improves but the lypo should be by vasser ultrasonic lypó not traditional.plus elastic compressive garment ,plus LPG endermology deep massage

	seguramente mejorraria con lypo ultrasonica mas fajas elasticas compresivas mas masaje profundo tipo LPG o endermologia

Daniel Greenwald, MD (in memoriam) · Answer

You have some irregularity in you leg contour which can be improved with more liposuction. Liposuction is designed to create tunnels through fat; when these collapse over time the contours are revealed. Tunnels through scar tissue do not behave as reliably as tunnels through virgin fat. Since you are slender your legs are going to be intolerant of any abnormal contours, so it is important to see a Board Certified Plastic Surgeon who has had a lot of experience with revision surgery. Be sure to review a comprehensive portfolio of pre- and post-op pictures so you can gauge your surgeon's expertise and so you can get a good idea of the type of results that are reasonable to expect.

George Commons, MD (retired) · Answer

Liposuction defect stigmata is very difficult to reverse in the thigh area. More liposuction is not the answer. The various sorts of proposed cellulite correction offerering fancy technology do not work so skip that. Superficial machine treatments do not work so skip that. So what to do? First I would need a series of 8 all around photos of your thighs. Possibly very meticulous fat transfers would help but this is time and labor intensive and expensive. Pure liposuction of any sort will likely only make matters worse or make you look different but not better. It seems hopeful to liposuction around the high areas and avoid the low areas but this is technically impractical. Your liposuction of 10 years ago appears to have left you with very difficult issues to correct. Select 3 FACS-ABPS surgeons with great experience and reputation and seek consultation. Ask what they can do. Ask why they feel any given procedure will be successful. Ask if they see one, two, or more procedures for correction. Ask costs. Ask risks of making more problems. Ask them why they think they can make the situation better. Then think and analyze. You have waited 10 years so now see what is your course of action. Never be impulsive. My Best, Dr C

Can Repeat Lipo Make Legs Look Worse? (photo)

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