Awake revision liposuction in-office - Is this risky? (photos)

Question

Hi, I had abdominal liposuction in December 2022. I have added my before and 3-months after photos. While I am generally happy with the results, the surgeon removed more fat from my lower abdominals. Right above my belly button, there are some pockets of extra fat that seem rather lumpy given how smooth my lower abdominals now look. The surgeon has offered to do some in-office liposuction on those pockets. I would be sedated but awake. Is this risky? Should I do it?

Camille Cash, MD · Answer

The results you posted look very nice and don't demonstrate an obvious need for revision. Small areas of liposuction can safely addressed in a surgical suite as long as the patient is medically a candidate.  Local anesthesia and sometimes light sedation can be given for patient comfort.  I've included a video on this topic that I hope you find helpful.

Randal Haworth, MD, FACS · Answer

It's great to hear that you're generally happy with the results of your abdominal liposuction. The appearance of small pockets of extra fat after liposuction is not uncommon, especially if there was a significant amount of fat removed from surrounding areas. In some cases, it may be possible to address these pockets with additional liposuction, which can help to smooth out the contour of the treated area and enhance the overall results of the procedure.

In-office liposuction under sedation can be a safe and effective option for addressing these small pockets of extra fat. Sedation allows you to be comfortable and relaxed during the procedure, while still being able to communicate with your surgeon as needed. However, as with any medical procedure, there are potential risks and benefits associated with in-office liposuction.

Before undergoing the procedure, it's important to have a thorough discussion with your surgeon about the risks and benefits, and to ensure that you are a good candidate for the procedure. Your surgeon will be able to evaluate your medical history and assess the extent of the revision needed, as well as provide personalized advice on the best approach for your specific case.

In general, the risks associated with in-office liposuction under sedation are relatively low. However, as with any surgical procedure, there is a risk of bleeding, infection, and other complications. It's important to follow your surgeon's pre- and post-operative instructions carefully, and to report any unusual symptoms or concerns promptly.

Ultimately, the decision to undergo in-office liposuction for the small pockets of extra fat above your belly button is a personal one that should be made in consultation with your surgeon. If you're interested in pursuing the procedure, I would recommend scheduling a follow-up consultation with your surgeon to discuss the details and potential risks and benefits of the procedure in more detail.

Best of luck !

Mats Hagstrom, MD (license on probation) · Answer

Based on your pictures, your results look fine, and there’s no obvious indication to do a revision. 
It’s important to differentiate contour and thickness of subcutaneous fat, especially in individuals who may have mild or moderate skin laxity.
Any area of an even fatness cannot be appreciated by the pictures and would require an examination.
Does your doctor agree with your assessment or is the revision offered because you’re complaining about the results?
If you want a quality assessment, you’ll need to schedule in person second opinion consultations.
Best,
Mats Hagstrom, MD

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