Post-liposuction fibrosis or too much fat removed? (Photos)

Question

19 months ago, I got a 360Lipo with Renuvion. I had some loose skin with stretch marks on my abs. My stomach skin never fully contracted and I noticed some big holes in my lower abdomen. Did the surgeon over-removed fat or is post-liposuction fibrosis? Would an ultrasound exam help me find out what it is? Can I treat it with ultrasound and RF or do I need correction surgery?

Gary M. Horndeski, MD · Answer

You do have contour deformities, most of which are low.  You may benefit from a mini tummy tuck and perhaps an umbilicoplasty.

Best Wishes.

Gary Horndeski, M.D.

David Hansen, MD · Answer

Lipo under gen. anesthesia doesn't allow the doc to fine tune the results like he/she can do under local with the patient being able to be stood up and see what needs to be done. Also renuvion can  give very irregular and distorted results. Micro lipo under local with a little  iv sedation and bodytite/morpheus is  the way to go when you want quality results.

Gerald Minniti, MD, FACS · Answer

You needed it then, and you need it now: a tummy tuck. Your surgeon recognized that but instead used a 'skin tightening' device instead. Either incompetence or dishonesty on their part. This unfortunate issue for you illustrates a very important point: skin tightening devices are not a replacement for skin removing surgeries. Get your tummy tuck and go to a provider that is honest and knowledgeable.

J. Timothy Katzen, MD, FACS · Answer

Hello Lass876987698,

Thank you for reaching out about your concerns regarding the outcome of your liposuction procedure. I understand how frustrating it must be to experience issues with loose skin and irregularities in your abdomen.

Based on the photos you've provided, it appears that the issues you're facing may be a combination of post-liposuction fibrosis (scar tissue) and potentially the removal of too much fat during the procedure. Liposuction aims to contour the body by removing excess fat, but in some cases, excessive fat removal can lead to irregularities and contour deformities.

It's essential to consider that you may not have been the ideal candidate for liposuction alone, especially if you had loose skin on your abdomen. In such cases, procedures like a mini tummy tuck or a full tummy tuck may have been more appropriate to address both excess fat and loose skin.

I recommend you contact your plastic surgeon to evaluate your condition in person and recommend the most appropriate course of action for you.

I wish you the best.

Sincerely,
Dr. Katzen

Connie Hiers, MD, FACS · Answer

You do have some excess skin and a few areas from aggressive liposuction. You would benefit from a tummy tuck to remove the excess skin and tighten your abdomen. Fat transfers could be done or Sculptra injections if needed. If you do not mind the loose skin, then try fat transfers or Sculptra injections.

Arif Eroglu, MD · Answer

Hello; when you have loose skin; too much Liposuction has been done and pits have formed. By the way, no skin tightening implementation was done. Therefore, the relevant skin remained loose; above the belly button, due to excess skin; wrinkles have formed and depressions have formed in the lower abdomen as well. Possibly, there is also fibrosis. At this stage, unfortunately, it is not possible for performing a surgery; which will completely fix these. Full Abdominoplasty cannot be realized. Mini Abdominoplasty and fat injection can be applied for the lower abdomen field. In the upper abdomen; for skin tightening; Renuvion J Plasma technique can be tried.

Darryl J. Blinski, MD · Answer

Based on your nicely posted photos, it appears you had two issues. Number one preoperative skin laxity, number two is over, aggressive liposuction. This caused the denting of the skin and fibrosis. Best treatment is a skin only tummy tuck to release the indented skin and remove any skin. RF or ultrasound gives minimal improvements. Best virtual consult. Fee for surgery is $8000. Again, best of virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate assessment regarding the outcome of Enny plastic surgery procedure with generally always need to see a complete set of proper before and after pictures.At 19 months, your results have been final for over a year.
The outcome of your procedure is based a new, not being a good candidate for Liposuction and the procedure. Not being done very well.
Patients who need a tummy tuck need a tummy tuck.
Skin lack city is the number one reason patients fail to get quality liposuction results.
Renuvion does nothing but add pain and complications.
I think your outcome confirms what I’m saying.
The problem is the the wrong operation was applied that had no chance of delivering equality outcome.
You now have scar tissue that developed from both liposuction and from the burning of the tissue with Renuvion.
To get a clear understanding of what your subcutaneous fat distribution is, try pulling your skin under tension and then taking the tip of your finger and running it up and down over the skin while it’s tight.
You were never a good candidate for Liposuction and Renuvion it’s never going to eliminate the need for a tummy tuck in someone who needs that procedure
You may still be able to convert this to a full tummy tuck, which is probably the only realistic option if you want a better looking abdomen.
It would’ve been much better to skip the Liposuction and Renuvion and go straight to the appropriate procedure in the first place.
I’m sorry this happened to you.
I hope eventually plastic surgeons will recognize the truth about Renuvion.
Best,
Matt Hagstrom, MD

Post-liposuction fibrosis or too much fat removed? (Photos)

Answers (8)