33F saggy abdomen after liposuction, petite BBL (photo)

Dear dizzyanything,

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 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

Based off your photos only (without a physical exam) - this is a tough problem, you have a scar from a previous surgery that is likely the main culprit for some of the saggy skin appearance, and likely the other is from the liposuction - when you remove a little more than the skin can contract to, it will hang like yours does (sometimes its better to leave fat there versus trying to remove as fat as possible). I would recommend trying morpheus (will need many rounds) to see if that gives it any improvement over the next 8-12 months, don't gain weight, try to increase your muscles in your core/abs and then if all this fails to give you enough improvement - likely will need some type of surgical intervention - either revising the scar you have there and / or fat grafting back to the areas that were over-lipo'd mixed with some more lipo in areas that need a little more resection needed.

You did everything right postoperatively because you got rid of the swelling that made you think your skin was tight and firm. Now you're dealing with the reality of skin laxity. I can see a laparotomy scar which could potentially be a gateway to skin excision and tightening. Please don't let anyone take your money for Morpheus or any other heating device. It won't work. A facial plastic surgeon in BH (Ben Talei) and I have a series of patients we did multiple treatments on and found it made no clinical difference in the appearance of the skin.