BOTCHED? Very bad liposuction - lumps and dimples all over. Would reverse Tummy Tuck+fat tranfer work? (Photo)

I have had 4 liposuctions in my abdomen and back and thighs trying to make the first one, 20 years ago, better. It has not worked. I have large scars under my breasts from 3 operations,, for I don't dare show my naked body. I think a reverse tummy tuck, would address most of my problems, w fat transfer to the deeper dimples, and maybe waist tightening.. I know the results won't make me perfect of course, but I'll take any improvement I can get. Thank you very much in advance,

Doctor Answers 8

Very difficult situation

I'm sorry to hear of your difficulties.

It's very sad when you see something like this happen.

In general, reverse tummy tucks are not good procedures.

I can't tell by the picture shown if you've had a regular tummy tuck before.

If you have not, then a regular tummy tuck is by far a better choice. 

Depending on how much the areas were over-liposuctioned determines what type of improvement you could expect.

Fat transfer to over-liposuctioned areas tends to be difficult. In order for fat transfer to work, the transferred fat has to be placed into a bed of viable, live tissue. When there's no fat left, there's nothing in which to put the grafted fat. The skin is too firm to place fat. Grafting the fat below in the muscle doesn't do the job. Sometimes multiple sessions of fat transfer can help.

You may need to have several consultations until you find a plastic surgeon who you feel confident can help you with your situation.

Unfortunately, some plastic surgeons are frustrated when asked to take care of other surgeons' complications. For most of us, we went into medicine to help people and stay true to our ideals.

Best of luck,

Mats Hagstrom, M.D.

San Francisco Plastic Surgeon
4.8 out of 5 stars 18 reviews

BOTCHED? Very bad liposuction - lumps and dimples all over. Would reverse Tummy Tuck+fat tranfer work?

Hello dear, thanks for your question and provided information as well.. This is the surgical procedure that revolutionized cosmetic surgery becoming one of the most performed cosmetic procedures. Subcutaneous tissue or fat is removed in order to contour the body in a way that is harmonious and pleasing to the senses. It can be performed in almost all regions of the body such as the neck, chin, abdomen, back, buttocks, thighs, arms and ankles. Usually done through a small incision in the skin through which a cannula connected to a vacuum is applied, it can be performed alone or in combination with other procedures. After liposuction your body is going to be really swollen for at least 2 to 4 months after your surgery. It is important for you to wear your compression garment for at least 6 months, the first 3 months 24/7 and then the last 3 months at least 12 hours per day for your body get use to not having the faja for so many time. When you remove it, your body can get swollen and also you can have pain. Remember to also compress your body to prevent a seroma which is an accumulation of liquid that has to be drained, it is hard to touch and also really painful. Bruises are completely normal for almost 3 months from surgery, that’s why is better for you to use a bruising cream and apply it all over your body 3 times a day. To prevent bad circulation and swollen legs, use compression socks. Brazilian butt lift can be performed with the same procedure and for a month it will be swollen and it will drop a little bit without losing it’s shape if you use your garment.. If you’re going to perform liposuction on your inner, outer, anterior, lateral, postetior thighs, be careful and consult with your surgeon what’s best for you, sometimes we have more extra skin than fat, that can cause severe sagginess on our legs, which can be only be reversed performing a thigh lift…

Tania Medina de Garcia, MD
Dominican Republic Plastic Surgeon
4.5 out of 5 stars 396 reviews

Liposculpture | Liposuction | Liposhaping

Thank you for your question.

No, to a reverse tummy tuck.  Traditional abdominoplasty may have a role here.  I wouldn't be able to tell you from pictures alone.

This is a difficult situation.

To be sure what is best for you, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.

I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 182 reviews

Skin texture irregularities

A reverse tummy tuck really has no place.  A traditional tummy tuck wouldn't even help, because you do not have enough skin.  Fat transfers will not be effective.  I would try endermologie and expect that whatever treatment for the skin surface works will need to be continued forever.

Gary Lawton, MD, FACS
San Antonio Plastic Surgeon
4.9 out of 5 stars 135 reviews

Abdomen correction after 4 liposuctions

NO to a reverse abdominoplasty.   That is almost always a terrible procedure with a terrible scar.   YES to a conventional abdominoplasty which will help you.    Fat grafting will not be effective for you and will take endless grafting procedure to get not very far.   Go with the conventional TT.   That is your best bet for reasonable improvement.    My Best,  Dr C

George Commons, MD
Palo Alto Plastic Surgeon
4.5 out of 5 stars 36 reviews

Liposuction irregularities

Even though a tightening procedure like a tummy tuck or reverse tummy tuck would help make your abdomen look better, you would more likely benefit from fat grafting to the abdomen. Essentially what's happened is that too much fat was removed. The body forms scar tissue under the skin from the liposuction. Since you have very little fat to hide the scar tissue, it is quite visible. By grafting fat, the scar tissue is covered with the fat, thus making your skin look smoother. You may require several fat grafting procedures. Please consult with a board certified plastic surgeon. 

Moises Salama, MD
Miami Plastic Surgeon
4.7 out of 5 stars 1,800 reviews

Indentations after liposuction

I do not believe that a reverse tummy tuck will be the answer.  Correction of the deformities you picture may take several procedures and long-term treatments.  Consult with experienced surgeons and ask to see before and afters of similar cases. Hang in there and good luck.

Francisco Canales, MD
Santa Rosa Plastic Surgeon
5.0 out of 5 stars 35 reviews

Poor Liposuction Results

I suggest finding someone who specializes in revision for a consultation.  You are likely not a candidate for further liposuction unless fat transfer can be performed.  You may however benefit from velashape or the like (venus) procedures for improvement in the irregularities.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 190 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.