What solutions for dents and lumps 10 years post BBL/lipo? (Photos)

Question

Hello, I got a BBL 10 years ago and have been insecure about my results in my abdomen area since. I think I have fibrosis, there are hard lumps and dents in my abdomen area. They are noticeable and I have tried everything from radio frequency, lymphatic drainage massage, woodsculpting to make it look better but I think it’s too late. I regret not doing this post surgery and more adamantly. I was hoping if there are any solutions to make these go away.

Jason Emer, MD · Answer

Pending a formal evaluation, you may be a good candidate for a Revision Liposuction. You need a formal evaluation by an expert in body shaping and contouring to determine what is best.

The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with a combination of QWO or Cellfina, subcision, and/or fillers such as Bellafill, Renuva synthetic fat, or Sculptra. If skin is very loose before surgery, then it will need to be removed: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin. Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

Daniel Barrett, MD · Answer

Dear JazzyBelle,
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

Mats Hagstrom, MD (license on probation) · Answer

Post surgical treatments do not affect Liposuction results. Having done the interventions you describe earlier would not have changed your outcome.

The procedure itself is the only variables that determines what someone’s results will be. Patients who were treated in an uneven fashion and aggressively tend to develop outcomes similar to what you describe.

From your pictures your results really don’t look that bad. Treating overly aggressive and uneven Liposuction with a Revision procedure is technically very difficult and often limited in what can be achieved.

Follow up with your provider or schedule in person consultations with local board-certified plastic surgeons to get a more accurate assessment and better understanding of what can or cannot be achieved. Anybody who thinks that this can easily be improved or wants to go in with energy-based devices and break up at scar tissue using devices such as VASER should be questioned.

Best,

Mats Hagstrom MD

What solutions for dents and lumps 10 years post BBL/lipo? (Photos)

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What solutions for dents and lumps 10 years post BBL/lipo? (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.