Fix for lipo rippling/dimpling? Thin now, not much fat to lose.

There are several different options. The most effective would be revising the lipo with either Tickle Lipo or Vaser Lipo. Non-invasive options include Thermismooth, Sculpsure or Kybella. The best option for you would be determined after evaluation your situation.

Dear jellycat30:It takes great experience to perform liposuction without skin deformities. The subsequent irregularities, rippling and dimpling may be from the aging, weight changes, metabolism, swelling, cellulite and a host of other problems as much as the liposuction technique. Sculptra, a bioactive injectable does not work as a volumizing filler but does stimulate fibroblasts to produce elastin, hyaluronic acid and structural proteins including collagen to firm and smooth the skin. My current experience has found excellent skin smoothening and tightening in large surface areas of the tummy, arms, thighs and buttocksI have found non-surgical CoolSculpting to even out the irregularities nicely. The CoolSmooth applicator has a flat surface for those large surface areas such as the tummy and thighs. The CoolAdvantage second generation applicators are more efficient, less uncomfortable (if there is any discomfort) and extremely useful as well for prior liposuction irregularities. You may even get some contraction as well. Next level up to minimally invasive procedures is ThermiTIGHT. This radio frequency probe is monitored to maintain the correct level of heat under the skin and into the fat to evenly distribute the energy required to "melt" the fat and contract the skin.I am not a fan of lasers, endermologie unless Sculptra has been injected. Please consult with a well experienced, skilled and Board Certified Plastic Surgeon or Dermatologist to evaluate and review your options. All the best!

Dear jellycat30:I have seen the rippling your describe not uncommonly after liposuction, and have also seen it improve with CoolSculpting. Depending upon the amount and distribution, Kybella might also be considered (this would be an off-label indication Kybella).Please go to a board-certified dermatologist or plastic surgeon with extensive experience in both of these treatments for best results in treating this difficult problem.All the best,   Dr. Clark

It is hard to say for sure without a photo, but if the rippling is caused by little deposits of fat that resist diet and exercise, CoolSculpting may be able to help. It also depends on the area you received liposuction. Most CoolSculpting applicators use a suction mechanism to properly attach the applicator. However there are flat applicators, designed for hard fat (the kind you can’t pinch, like the fat on the outer thigh area) that may work if you are too thin for a suction applicator. There is also non-invasive treatments for firming and tightening skin if fat deposits are not your problem. I would recommend setting up a consultation with your local medical spa. They will be able to better access your area of concern and give you much more insightful feedback.
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