Lumps/ridges/uneven stomach from lipo and CoolSculpting. Options? (photos)

You have paroxysmal adipose hyperplasia (PAH). High definition VASER liposuction performed by a VASER specialist, is the gold standard in correcting your contour irregularities and divots created by your multiple treatments.

The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. 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

Your pictures show a pretty normal looking abdomen with mild skin laxity.

If someone doesn’t like the way their abdomen looks it is usually always because of one or more of four variables.

The sire skin laxity, subcutaneous fat, muscle separation from previous pregnancies called diastasis recti or excess visceral fat.

In your case it comes down to skin versus subcutaneous fat.

To differentiate how much skin is contributing try pulling up on your skin to remove the laxity above the area of concern. With your skin under tension you will see the exact fat distribution and notice if that is creating contour issues.

If problems are related to fat distribution then liposuction of some form is probably the most appropriate.
Secondary Liposuction is technically much more difficult than primary liposuction. Delivering consistent high-quality Liposuction results is more difficult than most people believe so if you’re going to have intervention it needs to be done by someone who is very talented at Liposuction or things can get worse.

If pulling on your skin does not help you differentiate if this is related to mild skin laxity or subcutaneous fat distribution then scheduled in person consultations with local board-certified plastic surgeons. Look for providers who seem to have a particular interest or skill in doing Liposuction procedures. I’ll plastic surgeons will claim to be good at Liposuction just about but in reality average results leave something to be desired in my opinion.

Based on your pictures my best guess is that the contour issues are more related to skin laxity.

Best,

Mats Hagstrom MD