How to fix botched lipo? (Photo)

this typically takes a tumy tuck and revision liposuction with fat grafting to get improval. non invasive treatments like trusculpt and fractora/morpheus and venus legacy can help but will never fully improve this.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Dear Dlopez87,
I would have to examine you but it appears that this is a contour irregularity after liposuction. This happens often when areas the undergo liposuction are not feathered appropriately. The good news is that it can be fixed and I have done so with good results before. While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Based on your pictures, you are an excellent candidate for VASER liposuction. The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are 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

Correcting poorly done Liposuction can be difficult and often not possible to do.

This is especially true for those who have been over treated leaving them with two little fat and on top of this and uneven fat contour.

As plastic surgeons we can take a smooth even contour and leave it smooth and even as a final result if we know what we’re doing.

However, taking an uneven contour and turning it into a smooth contour is many times more difficult and after not possible.

Generally treatment options are revision Liposuction, fat transfer for converting this to a skin tightening procedure like a full tummy tuck.

None of these are really good options for you for some fairly complicated reasons.

You may be better off cutting bait and not spending more money.

The single worst thing you could do is have more aggressive Liposuction with power equipment such as VASER.

I cannot emphasize enough the importance of patients doing their homework and confirming surgeons have sufficient skill and experience with the procedure before scheduling for body contouring procedures.

Liposuction is perhaps one of the easiest procedures to perform but it turns out to be one of the most difficult to perform consistently well.

To get an assessment of the amount of improvement possible you definitely need in person consultations. There’s no one in particular technology or treatment that’s going to fix this.

It’s always a matter of partial improvements and if that justifies having surgery.

Realize that when plastic surgeons take on undesirable outcomes from other providers they inherit all of the problems that come from the previously done procedures.

Because of this the general standard should be that each surgeon manages their own patients and takes care of their own complications.

We all realize patients lose faith.

In my practice I typically offer free consultations for primary cosmetic procedures but we charge for consultations for second opinions of undesirable outcomes from previous surgery including all follow up visits and questions unless someone has surgery with us.

Situations like you’re on I highly complex, time-consuming and challenging from both the patient and providers perspective.

They can be time consuming and often very little improvement can be offered. The plastic surgeon still needs to be compensated.

I wish I could be more optimistic. My recommendation is to get in person consultations by the most experienced and talented plastic surgeons when it comes to Liposuction in your area. Consider writing honest reviews describing your experience so other patients can know what you went Through and the importance of plastic Surgeon selection For Liposuction procedures.

Be very careful of those who think that this is easy to fix.

I would also be very reluctant in believing that radio frequency treatments are going to correct an uneven fat distribution based on poorly done previous Liposuction.

This includes procedures like bodytite and J plasma a.k.a. Renuvion

Best,

Mats Hagstrom MD