I have a lumpy stomach. Will a new lipo 360 with J Plasma help? (Photo)

Question

I have a lumpy stomach due to a lipo I had years ago. Now I am thinking of having lipo 360 with J Plasma. I'd like to know if that will help

Daniel Barrett, MD · Answer

Dear pintadoiris,
while there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jason Emer, MD · Answer

this needs a tummy tuck, fat grafting, and renuvion to improve.  body treatmetns like RF and truscupt flex can be done to help improve this but nothing will fully get rid of this without cutting the scar tissue.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to 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 cellfina, sculptra, 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 such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  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.  Dr. Emer.

Mats Hagstrom, MD (license on probation) · Answer

Revision Liposuction is many times more difficult than Primary Liposuction. This is especially true for those who have been over treated or were treated using poor surgical technique.

I personally owned the J plasma equipment by Renuvion and found it had virtually zero impact in skin tightening.

Your primary problem is that you had poorly done Liposuction that left you with an uneven fat distribution.
There is no one single device that has an advantage or disadvantage in trying to correct this.

As is always the case it is the skill and experience of the provider that determines the outcome as well as the candidacy of each individual patient.

There may be room for some improvements but it will be virtually impossible to restore your abdomen to normal looking as in pre-liposuction or desirable Liposuction results.

Treatment options generally come down to revision liposuction, fat transfer or converting the procedure to a skin tightening procedure like a full tummy tuck.

Since the problem is too much fat was removed and it was done so in an irregular fashion none of these treatments are going to be ideal.

All of them fall flat for one reason or another.

Most patients like you can have very slight improvements and often this requires multiple procedures.

The worst thing you could do is to have someone go in who doesn’t have years of experience and exceptionally good skill with an energy device. An attempted revision can make things worse.

To get an accurate assessment you will without question need in person consultations. I suggest scheduling multiple consultations with providers in your area.

Before trusting someone to do revision work I suggest you get confirmation of both skill and experience by asking the provider to show all of their before and after pictures For Liposuction and especially Liposuction revision to work.
When it comes to results of fat transfer it is imperative that pictures are taken at least three months from the date of the procedure.

Best,

Mats Hagstrom MD

I have a lumpy stomach. Will a new lipo 360 with J Plasma help? (Photo)

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