Thank you for sharing your concerns about the uneven results and hard bumps you are experiencing after your stomach liposuction three years ago. It's understandable that this situation is distressing, especially at your age. VASER Hi-Def Liposuction might indeed be a suitable option for you. VASER is a type of liposuction that uses ultrasonic technology to break apart fat cells while preserving the surrounding tissue. It's particularly effective for smoothing out lumps and irregularities because it can precisely target the uneven areas. Additionally, VASER is known for its ability to help tighten the skin by stimulating collagen production, which might benefit the areas where you feel there is unevenness and hardness. Since you mentioned a lack of alternative fat deposit areas for grafting, VASER Hi-Def Liposuction could be especially advantageous as it focuses on enhancing the existing contours rather than relying on transferring fat from other areas. Here are a few steps I recommend: Consult with a Board-Certified Plastic Surgeon: Find a surgeon who specializes in revision liposuction and specifically has experience with VASER Hi-Def technology. This surgeon can assess your abdomen, determine the extent of the scar tissue or fibrosis, and confirm whether VASER Hi-Def Liposuction is the best course of action. Discuss All Options: In your consultation, discuss all possible treatment options. Although VASER is a strong candidate for your needs, the surgeon might suggest other complementary therapies that can help achieve a smoother, more uniform appearance. Psychological Support: Given the psychological impact this has had on you, consider speaking with a counselor or therapist to help manage the emotional distress related to your body image concerns. Prepare for Recovery: Understand that revision procedures can sometimes have longer recovery times and might require a detailed post-operative plan to ensure the best results. Addressing the uneven results from your previous surgery is certainly possible, and with the right approach, you can see significant improvements in both the appearance and feel of your abdomen. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS Plastic Surgeon