Any options available to improve the gluteal creases without causing further damage? (photo)

Question

I’m a 48 year old female. I’m 5’2” 125lbs. I had liposuction of my outer thighs about 20 years ago. I was left with defects on my right side and I have had multiple procedures to try and correct it. I’ve had the plastic surgeon try to break up the scar tissue and smooth it out, Sculptra and finally fat grafting which they removed fat from my flank area and more on my left outer thigh which has left my left thigh looking just as bad if not worse than my right. Is there any options available to improve the creases without causing further damage? I rather not have any surgical procedure that will leave incision scars. Also, is there anything to help with the skin discoloration from the cannula? I’m so embarrassed and have been chasing a correction for 20 years.

Gary M. Horndeski, MD · Answer

The best technique to improve your gluteal creases laterally is a lateral thigh lift, even though you prefer not to have any surgical procedures done that would leave incisions.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

It is very likely that a combination of liposculpting without aspiration and selective fat grafting is one of the solution. You should seek an expert surgeon to achieve predictable improvement. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

In order to understand the problem or in order to make a quality assessment. We need quality information.In this case, it means supplying us with proper before and after pictures.
If you don’t have before, and after pictures, then ask previous providers or your current providers to forward all before, and after pictures.
The part of your medical record that you can request at any time.
 Anytime, you consult with the provider always bring before and after pictures and a copy of your previous operative report.
I don’t know how long ago your first procedure was but having access to that information would be very helpful.
You’re trying to reverse what was done initially, so knowing exactly what was done during your first procedure would be helpful.
 In reality, the number of plastic sentences who approach mastery of liposuction and fat transfer are really quite few.
Finding the right provider is incredibly difficult.
Especially for unique situations where providers are unlikely to have a good number of before and after pictures to show you.
That should never be removed around the gluteal crease in the your case, I don’t see why any fat was removed from your lower extremity at all.
Especially the outer thigh.
I generally always recommend people rely on in person consultations and avoid virtual consultations whatever possible.
Most likely your best solution is to accept the outcome and not have further intervention.
If you really want to go on and continue trying thenthe next step would simply be to find the right plastic surgeon to be working with.
You may think that you’ve been doing that, but obviously you haven’t since your previous Interventions haven’t done much for you.
If they were the right providers, they should’ve either said no or done something that works.
Unfortunately, too many plastic surgeons are motivated to make money and will offer some treatment or procedure even if they themselves don’t have great confidence that they can deliver.
Try to find plastic surgeons who have extensive experience or have focused their career exclusively undoing, Liposuction and fat transfer and schedule multiple in person consultations.
In reality, it may be time to throw in the towel, but correcting poorly down Liposuction often involves multiple rounds of fat transfer.
To correct previously pour down Liposuction can require many rounds of fat transfer But as you know, attempts to improve, poor outcomes can lead to new problems or making things worse.
That is always a risk.
Good luck,
Mats Hagstrom MD

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