Uneven stomach after lipo. Any suggestions? (photos)

Hello,Your abdomen has been over-resected of fat, especially the superficial fat just below the skin, which should never be removed due to it's fibrous adherence to the dermis. You will need at least two fat grafting sessions to get a reasonable improvement.This involves breaking up scar tissue, adding fat from other areas of the body, and then a final smoothing. The first session will remove a lot of the scaring that causes the irregularities but will not be sufficient.  The fat that is placed in the first session will act make the environment more conducive to a second grafting, which should have more of a smoothing affect.The techniques of fat grafting do not involve high tech gizmos like Smartlipo, ultrasound, or Vaser.  It requires a variety of specialized canulae and the expert knowledge and skill of the surgeon.Best of luck!

I have utilized several techniques to improve this appearance, but it requires great precision to improve this.Kenneth Hughes, MDLos Angeles, CA

this apperars to be overly aggressive liposuction that was performed and there are a few options for improvement, but unfortunately "cure" is almost impossible.  external radiofrequency devices like velashape and venus legacy will help or even fat transfer or fillers to certain areas.  I suggest you see a body contouring specialist for treatment.  Best, Dr. Emer.

When results are poor from liposuction, it is usually due to one of two reasons.The first is the procedure was done poorly. The second is liposuction was done on a patient who was not a good candidate.When doing revision work after undesirable outcomes in liposuction, it is critical to make an appropriate assessment first.Patients can be left with results that are simply uneven or they may have been overly liposuctioned.If the results are simply uneven, then revision liposuction can help even out the results, though the final outcome will rarely be as good as if the procedure was done correctly in the first place.If the problem stems from someone having been over-treated, then revision becomes much more difficult.Sometimes patients can see improvements from having skin procedures like abdominoplasties. These may be viable alternatives for patients who have some loose skin.Still, if the underlying diagnosis is an absence of fat from overzealous liposuction, then skill tightening is really not treating the true diagnosis.Fat transfer can be of limited help but is tedious and may require multiple sessions in order to achieve realistic improvements.The problem with fat transfer as an option for treating areas that are over-liposuctioned is the lack of a tissue base in which to graft fat.If someone has had virtually all of their subcutaneous fat removed, then there was no base in which to graft the fat.Grafting fat into the muscle is not a viable solution for a good aesthetic outcome.In your case, it appears you have been liposuctioned unevenly as well as having been over-treated.Your skin is not loose, so I would not recommend any type of abdominoplasty.Small improvments may be possible with revision liposuction and fat transfer, though it is unlikely that you will ever have an abdomen looking anything like the picture you showed.Many surgeons will recommend ancillary nonsurgical treatments for someone like yourself.I have less faith in these machines because they do not treat the inherent problem, which is now an absence and uneven distribution of fat.The importance of seeking help from a talented, experienced and board-certified plastic surgeon cannot be overstated.Best of luck,Mats Hagstrom, M.D.