Lipo 360 - Extra fat on hips and abdomen. Should more have been removed? (photos)

Question

I had lipo 360 & I’m not very satisfied with my results thus far. My abdomen should’ve been liposuction more & my hips were basically untouched I can literally grab them. Is that a normal approach? While my expectations were realistic I can’t stop to think if my surgeon was just not that good with the task at hand. He did mention a tummy tuck due to my stretch marks which isn’t a nuisance for me oh & possible visceral fat that is only addressed with diet & exercise.

Daniel Barrett, MD · Answer

Dear jivecaldwell,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Arian Mowlavi, MD, FACS (license on probation) · Answer

Based on your high definition body score, you would best benefit from a simultaneous high  definition 360 vaser liposuction and modified abdominal skin resection and lateral thigh tuck. Please consider a virtual consultation with a high definition body contouring specialist to get more input on why this approach will provide you a transformation.

Mats Hagstrom, MD (license on probation) · Answer

When someone doesn’t like the way their abdomen looks it is always because of one of four variables.

The first is skin laxity which typically happens from previous pregnancies or substantial weight fluctuations.

The second is subcutaneous fat which is not changed by previous pregnancies. The third is muscle separation from previous pregnancies called diastasis recti. This is only corrected with a full tummy tuck.  The last valuable is access visceral or intra-abdominal fat which lake muscle separation causes the abdome Inc to bulge.

The last valuable is access visceral or intra-abdominal fat which lake muscle separation causes the abdome Inc to bulge. If a patient has all four of these variables contributing to how their abdomen looks but uses to treat only one of the four variables then they are going to get a partial result and that is exactly what you got that.

If you want a tight flat abdomen you will also need to address obesity to reduce visceral fat, muscle separation and skin laxicity with a full tummy tuck.

A full tummy tuck would’ve probably been a better procedure to start with.

I understand clearly why people are reluctant to have a full tummy tuck. Personally I wouldn’t want to have one either.

That however does not Meg Liposuction create tummy tuck results.

Based on your before and after pictures you had well done Liposuction that is probably above average in regards to quality work.

I’m guessing during your consultation your surgeon mentioned and possibly recommended having a full tummy tuck but you probably opted for a lesser procedure.

To me the work looks excellent and is what I would expect from someone who has all four variables and chooses the simplest procedure.

To the untrained loose skin after looks and feels like subcutaneous fat.

I typically discuss and teach my patients to differentiate skin laxity and subcutaneous fat during in person consultations.

To properly assess the thickness of your subcutaneous fat don’t grab the fat and pinch it which recruits skin and thickens the fat layer. instead put the skin under gentle tension and gently with one finger push against the skin until you feel the underlying muscle wall. It does not take a lot of pressure to do this. With the skin under tension I think you’ll recognize that the fat thickness is quite thin even and consistent and all the areas treated.

Loose skin is probably the number one reason pathogens fail to be dissatisfied with Liposuction results.

Patients needing tummy tux but opting for liposuction is a recurring theme in plastic surgery and come seven daily on Realself.

If you want an accurate second opinion consultation then schedule a few consult with the other local board-certified plastic surgeons. Bring with you proper before and after pictures and ideally a copy of the operative report.

Without an examination we’re limited to the accuracy of our assessments but based on what I see the Liposuction was done well.

Best,

Mats Hagstrom MD

Lipo 360 - Extra fat on hips and abdomen. Should more have been removed? (photos)

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Lipo 360 - Extra fat on hips and abdomen. Should more have been removed? (photos)

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Everything you need to know about Liposuction Revision

Our mission is to create a world where every investment in modern beauty is Worth It.