What are my options after too much fat removed during liposuction 3 months ago?

Question

3 months post op. I was simply looking for a little contouring, as I was already in good shape, but now I'm in a position where way too much fat was removed, especially from flanks. I don't have the loose skin or contour issues, rather that so much fat was removed, the iliac crest muscle, pubic muscle as well as rib cage are all protruding out with no fat in between. Do I have any options?

Misbah Khan MD, FAAD, FACMS · Answer

I specialize in fixing Liposuction defects. u can check some of my pics on my profile on RealSelf and on IG. I also have a few videos on YouTube talking about some of the case I have fixed. and one video on FAQs regarding Revision Surgeries. anyhow, I can be reached via email should u wish to email me some of your photos etc,, would be happy to give u my opinion

Kenneth Hughes, MD · Answer

The main risk in harvesting a lot of fat on a thinner individual is that there is a greater risk for contour irregularity. I would not contemplate a revision until the 6 month point. An exam would be necessary to evaluate options.

Robert M. Tornambe, MD · Answer

therascaldude. It is difficult to provide an extensive recommendation without photographs or physical examination. It sounds like fat grafting to the areas of concern may be your best option. Discuss your issues with your surgeon or get a second opinion from a board-certified plastic surgeon in your area. Good luck.

Daniel Barrett, MD · Answer

Dear therascaldude,I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after 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

David A. Robinson, MD · Answer

Excess removal of fat from liposuction can be a challenging problem to correct. The best option to correct this problem would be a fat transfer (taking fat from one area of the body and placing it in another).Although this may be your best option, the results can be unpredictable. In addition, you would need to have enough fat available, in other areas of your body, to successfully  perform this procedure.I would recommend consulting with a board certified plastic surgeon.  He/she can evaluate you and determine whether you are a candidate for this procedure.Good luck!

Karen Singer, MD · Answer

When too much fat is removed during liposuction, unfortunately there are few options to correct. Please meet in-person with a board certified plastic surgeon who is experienced in revision surgery to determine the best options for you. Best wishes.
Karen Singer, M.D., P.A.Harvard Graduate and Board Certified Plastic SurgeonSt. Petersburg, FL

Mats Hagstrom, MD (license on probation) · Answer

i'm afraid your options are very limited. Poorly done liposuction is difficult to correct especially when to much fat has been removed. Fat grafting seems like attempting option to try but there is no host tissue to graft the fat into and they grafted fat will be stacked and eventually not survive.  Stacked fat is a term I use when grafted fat is surrounded by grafted fat.  the fat after being removed from the body does not have a blood supply it needs to be surrounded by live vascular tissue in order for it to survive after being grafted.  In your case there is dermis on top of muscle. Grafting fat into the muscle layer is not a good viable option.  the skin itself will not support more than a minuscule amount of grafted fat. For patients with skin laxity sometimes directly cutting out loose skin can be an option.  These cases are always difficult and individual. I would suggest in person consultations. If you choose fat grafting as a way of correcting this expect to need multiple treatments. Best, Mats Hagstrom M.D.

What are my options after too much fat removed during liposuction 3 months ago?

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