Botched Lipo - is there a fix that doesn't involve another surgery? (Photo)

Question

I’m 29 got lipo 360 over 6 months ago, wore the faja and did my massages but I have very bad—what I think is fibrosis—and a prominent cánula tract mark. Is there any fix that doesn’t involve another surgery?

David Hansen, MD · Answer

This is probably a result of general anesthesia with larger canulas.  They never turn out the way you want it since they can't stand the patients up and fine tune the results like it should be done.  It is fixable but does need to be done by someone qualified and  under local with a little iv sedation for complete comfort .  Doing the lipo with bodytite and morpheus can really help alot.

Scott Tucker, MD · Answer

There is a chance that one of the skin tightening devises may give you some improvement. There are several out there like RF microneedling and Emsculpt Neo, both of which are non invasive. With the degree of laxity of your skin you will probably need an abdominoplasty to get a nice result. Good luck on your journey,Dr. T

Camille Cash, MD · Answer

Fibrosis may soften and improve some over time but further intervention is likely necessary.  You can consider radio frequency technologies or laser treatments.  Surgery is another alternative.  I encourage you to visit with a board certified plastic surgeon near you to discuss your options.

Connie Hiers, MD, FACS · Answer

I don't think surgery would be helpful, but create more scarring. You could get improvement with Sculptra injections. Please find someone who does Sculptra on scarred areas.

Karl William Schwarz, MD · Answer

Unfortunately the solution to correct your skin would involve surgery. You would need a combination of liposuction along with potentially some fat graft and perhaps a tummy tuck as well to get a flat stomach without the lumpiness.

There will be many clinics and spas offering different heat therapies and lasers and massages etc but I only think you will get any real benefit from the above combination of surgeries and then focus on fibrosis prevention after surgery with rolling and FibroGuard.

Daniel P. Markmann, MD · Answer

Thank you for your question and including photos.    I'm very sorry to see your Botched lipo results.   Unfortunately, getting great liposuction results is much easier than correcting bad results.   I do a fair number of botched lipo patients.   The majority of patients i see that look like you have had either laser liposuction or ultrasonic liposuction.  Both of these techniques use a heating energy to "melt"the fat cell, break up the tissues and making the fat come out easier.   But, they are also often used with the hope of shrinking loose skin.   Unfortunately, they often also create significant scar tissue under the skin.  This typically causes this fibrotic, lumpy result.   It is a very tough thing to ever fix 100%.   Steroid injections into the hard lumps can help, release of the scar tissue under the skin can help, as well as fat grafting into the divots and dents.   It often requires a combination of these things or abdominoplasty to tighten the skin, trying to pull those wrinkles and irregularities smooth.  
Good luck.  Definitely interview several surgeons to find someone who is confident they can help

Darryl J. Blinski, MD · Answer

Based on your posted photos, best option is surgical intervention with fibrosis relief, cannula under anesthesia possible J plasma, Lipo other areas for fat grafting to dented areas. Fee $10,000. non-surgical option would be multiple sessions of sculptra/radiesse combination injections over 6 to 8 months. Expect fees to range from $10,000-$30,000. Again, best of virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

Correcting poorly done Liposuction is in hardly difficult and typically only partial improvements are possible.
Any attempt at revising the outcome can also make things worse.
There are a number of variables that determine the degree of improvement possible for each revision case.
The most difficult situations to improve our from patients who were dramatically overt treated during the first procedure, leaving them with an uneven fat distribution.
Thanks become even more difficult if the patient was not a great candidate for Liposuction in the first place by variables, such as skin laxity.
 Recognize that revision Liposuction is more difficult than primary Liposuction so the importance of provider selection is now even more important.
Delivering consistent quality Liposuction results is more difficult than most people realize.
The number of plastic surgeons who approach mastery of Liposuction is in reality quite small.
 The best providers for doing revision work are typically the same providers that do the best Liposuction in the first place.
Attempts at improving, your outcome can be done with revision liposuction, fat grafting, or potentially converting the procedure to a skin tightening operation like a full tummy tuck. Typically, only partial improvements are possible with Liposuction revision work.
By far the most important variable is provider selection.
To find the right plastic surgeon schedule multiple in person consultations, preferably with providers in your community.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients lead similar body characteristics to your own.
 Bring a set of before and after pictures as reference during each consultation.
Highly experienced surgeons should have access to hundreds of before, and after pictures to choose from for primary Liposuction.
They will not have nearly as many examples of revision work since revision work is not nearly as common as primary procedures.
Providers who don’t have an impressive collection of before, and after pictures should be put on the “B” list and perhaps not considered. 
Continue having consultations until you feel comfortable you have found the right providers. 
Best,
Mats Hagström MD

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