Are there any contraindications to thigh lipo & Renuvion post ultrasonic cavitation?

Question

Are there any contraindications to having thigh lipo if you’ve already tried ultrasonic cavitation with minimal results?

Semih Yildiz, MD, FEBOPRAS · Answer

Prior ultrasonic cavitation treatment is usually not, by itself, a contraindication to thigh liposuction or Renuvion. The main issue is what effect it had on your tissue. If there was bruising, burns, prolonged swelling, firmness, scarring/fibrosis, or skin irregularity, your surgeon may want to wait until everything has settled and examine whether the fat layer and skin are suitable.

Renuvion adds internal heat-based skin tightening, so candidacy depends on skin laxity and quality, the amount and location of fat, cellulite or irregularity, medical history, and surgeon experience. It is not a substitute for removing excess skin, and on thin or previously irritated tissue it can increase risks of contour irregularity or thermal injury. Tell your board-certified plastic surgeon exactly when and how many cavitation treatments you had, and let them examine the thighs before deciding whether lipo alone, lipo with Renuvion, or a different approach is safest.

Daniel Barrett, MD · Answer

Dear gingerviking,
previous procedures are usually not a contraindication for liposuction. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Emmanuel De La Cruz, MD · Answer

Yes, there are several contraindications and considerations to keep in mind for thigh liposuction (liposculpture) and Renuvion (J-Plasma) treatment following ultrasonic cavitation:

General Health Status: Patients should generally be in good health to undergo elective cosmetic procedures. Conditions such as uncontrolled diabetes, heart disease, or significant medical issues may increase the risks associated with these procedures.

Skin Quality: The elasticity and quality of the skin are important factors. If the skin has poor elasticity, it may not retract well after fat removal, leading to potential loose skin or irregular contours.

Previous Surgeries: Previous surgeries in the same area can affect the outcome of liposuction and Renuvion treatments. Scar tissue or altered anatomy from previous procedures may make the current surgery more challenging.

Medications: Some medications, such as blood thinners, can increase the risk of bleeding and complications during surgery. It's important to disclose all medications, supplements, and vitamins to the surgeon.

Infections: Active infections in the treatment area or elsewhere in the body can increase the risk of complications and may require postponing the procedure until the infection is treated and resolved.

Allergies: Allergies to anesthesia or other medications used during the procedure should be disclosed to the surgeon.

Expectations: Realistic expectations regarding the outcomes of thigh liposuction and Renuvion are crucial. These procedures can improve contours but may not achieve perfection or complete cellulite reduction.

Pregnancy: It is not recommended to undergo elective cosmetic procedures like liposuction and Renuvion during pregnancy or while breastfeeding.

Psychological Considerations: Patients should be mentally prepared for the procedure and understand the recovery process. Body image expectations should be discussed with the surgeon.

Weight Stability: Significant fluctuations in weight can affect the results of liposuction. It is generally recommended to be at a stable weight before undergoing the procedure.

Age: While age itself is not a strict contraindication, older patients may have different skin elasticity and recovery times, which should be considered in treatment planning.

It's crucial to consult with a qualified cosmetic surgeon who can assess your individual health status, discuss your goals, and determine if thigh liposuction and Renuvion are appropriate for you based on these and other factors.

Rodolfo Castillo, MD · Answer

Hi, gingerviking; no, there is no contraindication if you’ve already tried ultrasonic cavitation. 
Regards.

Connie Hiers, MD, FACS · Answer

You can proceed with surgery, but I would suggest waiting 3 to 6 months between the treatments for best results and fewest risks.

Camille Cash, MD · Answer

You are not excluded as a liposuction candidate if you have tried other contouring methods with minimal results.  During a consultation with a board certified plastic surgeon you will discuss what you are hoping to achieve from surgery and learn more about the best options available to you.

Mats Hagstrom, MD (license on probation) · Answer

If your previous procedure had no impact, then it will not interfere or get in the way of quality Liposuction.
The only procedures that significantly affect liposuction are ones that were effective at previously removing subcutaneous fat.
Personally, I’m not a fan of Renuvion and from firsthand experience found the device to be dreadful and not deliver anything close to what the company claims.
Delivering consistent quality liposuction results is more difficult than most people realize.
The number of plastic surgeons who approach mastery of Liposuction is in reality quite small.
Liposuction results are permanent and irreversible.
If done poorly people can be left disfigured.
I cannot emphasize enough, the importance of provider selection, and having a good understanding of your own candidacy for the procedure before scheduling this type of work.
To find the right provider, I suggest patients schedule multiple in person consultations with plastic surgeons in their community.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients with similar body characteristics to your own.
And experience provider should have no difficulty showing you the before, and after pictures of at least 50 previous patients.
Bring pictures of your own body to use as reference, especially when reviewing before, and after pictures.
Make sure the pictures they show you have the same characteristics to your own body.
This means they should be overall about the same age, same overall size, same degree of skin laxity, etc., etc.
There’s no correct number of consultations needed to find the right provider.
Considering the implications, I suggest patients start the process by having at least four or five consultations before considering selecting a provider.
I recommend people avoid virtual consultations whenever possible and always insist on having in person consultations With the provider who’s going to do your operation.
Best,
Mats Hagstrom MD

Are there any contraindications to thigh lipo & Renuvion post ultrasonic cavitation?

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