5 Months Later and Still NO Results. And Yes I Did Go to a Reputable Surgeon.

I had lipo done 1/24/11 by a cosmetic surgeon well known in St. Louis MO. I have always thought things did not look right and overall i had minimal bruising and pain. I have little to NO results and think he just pocketed money and did NOT perform all the surgery he was suppose to. Im so at a loss and frustrated. He continues to tell me to give it more time. RIDICULOUS!! Im wearing the same size and people ask me " I thought you got liposuction". Now he tells me to see my PCP for thyroid ck

Doctor Answers 10

No result liposuction

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You should check your pre and postop weight.  If it is up at all, you need to lose weight before assessing the final result.  Also, get the pre and postop photos and compare them.  Finally, ask for the op note to see how much was removed. 

While you are frustrated, the worse thing would have been to be overdone with permanent dents and grooves.  Also, please understand that a "cosmetic" surgeon is not necessarily a Board Certified Plastic Surgeon.

No noticable change post liposuction

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It is a good idea to have a "heart to heart" with your surgeon.  Reviewing the pre- and post- surgical photographs is recommended.  Many times there are changes.  Hopefully better!   We always weigh patients before surgery and several months after surgery.  Liposuction is not a weight reducing operation but often there is a change in weight if a large liposuction is performed.  Reviewing the operative liposuction tally sheet is helpful as well.  You need to decide whether or not the surgeon wants to help you or not.  If they do not, then he/she is doing themselves a disservice by not helping you through these trying times.   It is unreasonable to take sides since hindsight is always 20/20.

Jonathan Berman, MD
Boca Raton Plastic Surgeon
4.7 out of 5 stars 19 reviews

Results after liposuction

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I can't tell you how often I've heard simillar comments from patients, after liposuction. Half of them are eventually satisfied and the other half had gained weight. If you are the same weight, minus the weight of the fat that was taken out, you too will be happy by years end. If not, then you must trust this "reputable surgeon" to do the right thing and re-do his or her surgery. 10-15 percent of surgeries require revisions, talk to him or her and cheer up..

Ayman Hakki, MD
Waldorf Plastic Surgeon
4.5 out of 5 stars 34 reviews

No change?

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Without more information, it is impossible to give you any suggestions.  We need to see pre and post-op pictures.  We need to know your pre and post-op weight and BMI.  We also need to know the areas treated and the volume of fat removed.  Without any of this information, we cannot be helpful for you.


Good Luck

No Results From Liposuction Suggests Not Enough Fat Was Removed

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While there is no question that the results from liposuction take months to evolve and become final, seeing no change over and after this many months is very unusual. Provided that your weight has been stable, and most liposuction patients don't gain any appreciable weight in the first six months after the procedure, the reality may be that not enough fat was removed. Liposuction results are affected by many factors including technique and effort. It would be relevant to know how your procedure was down, particularly if it was done under local anesthesias in an office setting. This accounts for many inadequate or no result complaints from patients who I see for secondary or revisional liposuction.  

Liposuction results should be noticeable by 5 months

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You should be able to see some results by the 5 month mark after liposuction. The skin shrinkage and contraction may take up to one year, however, you should certainly see some changes by now. You should review your before photos to see if there is any change in your contour.

I recommend consulting with a plastic surgeon certified by the American Board of Plastic Surgery for any future surgery.

Best wishes,


William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 412 reviews

Liposuction - 5 Months Later and Still NO Results...?

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Hi tracywe,

I'm obviously sorry for your results so far.  Hopefully, you'll still get the result you hoped for.

In my experience, it takes about 4-6 weeks to see 85% of the result, 3 months for 95% and 6 months for the entire result (sometimes even longer).  That assumes that your weight is at or below the pre-surgical weight (depending on how much lipo was done) and that you are otherwise in good health.

If you have not seen adequate results by 6 months (I realize you're almost there) you should be comfortable enough having a discussion with your surgeon, including reviewing pre and post-op photos and anything else you need to do to make yourself comfortable with the surgery you had.  While it is not possible to offer guarantees you should, in general, be able to get a result within a certain range.

I hope that this helps, and good luck,

Dr. E

NO lipo results 5 months post-op!

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Tracy, I am sorry your experience was a bad one. Please review what you mean by "reputable." Is your surgeon certified by the American Board of Plastic Surgery? (This is the ONLY American Board of Medical Specialties (ABMS) board that certifies plastic surgeons.) There is no "American Board of Cosmetic Surgery" in the ABMS, but there is a self-designated "American Board of Cosmetic Surgery" that certifies doctors of various ABMS specialties that wish to perform cosmetic surgery but do not have the complete training and credentials of American Board of Plastic Surgery (ABPS)-certified plastic surgeons. This doesn't necessarily mean these doctors are "BAD," but it DOES mean that they have not met the minimum training and testing requirements for ABPS certification, and therefore seek "certification" by this non-ABMS member "board." Confusing and misleading, isn't it?

Proper certification doesn't "guarantee" happy patients or best results every time, but lack of certification certainly means that this surgeon has NOT completed and met certain standards of training, knowledge, testing, and experience that ABPS-certified plastic surgeons have. Good surgeons can have poor results, bad surgeons or inadequately-trained, "bogus-boarded" surgeons can obtain good results, but if you had to take bets on the likelihood of successful outcome with a specific patient, who would YOU bet on?

Regardless of certification, your surgeon should have also discussed with you a re-do or revisional surgery policy: who is responsible for what, who pays, and how much is charged.

Your surgeon should also have a verified weight and fat analysis in your chart from the time of surgery. You should be able to stand on the same fat analysis scale and verify that you have not gained weight or fat percentage, as this is unfortunately one way for patients to NOT see results, even after a good operation. If your weight is unchanged or up, then a thyroid check is a reasonable request--there may be a reason other than "bad surgery" to explain your lack of visible improvement.

Finally, if your weight is stable to less, and if your post-operative photos show no improvement over your pre-operative photos, then you have every reason to expect some sort of consideration from your surgeon. Discuss this with him. At 5 months post-op there is likely to be little additional improvement in your surgical result, so waiting longer is not an appropriate request.

If you need to, see one or two ABPS-certified plastic surgeons for an additional opinion; bring a copy of your pre-op photo if possible. Good luck and best wishes!

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4.9 out of 5 stars 263 reviews

Probably you need a second opinion. Has your weight changed?

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Every surgeon has patients who return disappointed after liposuction.  If I have a patient who is disappointed I immediately weigh them and compare their weight with their preopeative weight.  Invariably it is the same or greater, meaning the patient gained weight after surgery (even without knowing) and this has compromised the result.  The good news is that with a little weight loss the benefit can be seen.  Liposuction removes fat so the treated areas should be less after surgery if there is no weight gain.  There is no other explanation.  Your photos actually do suggest that you look trimmer now. 

Do you know the amount of fat removed at surgery?  You may wish to get a second opinion.  It is not unusual for surgeons to retreat areas (redo liposuction) if there is still an abundance of subcutaneous fat.  Or they may tell you to simply lose 10 pounds.

Eric Swanson, MD
Kansas City Plastic Surgeon
4.7 out of 5 stars 62 reviews

Tough question.

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your experience is not unheard of.  I agree that patience is no longer an option. the result is probably the result. if you have gained weight then that is something you need to address. on the other hand if with careful eval of pre and post op photos you guys can come to some agreement, then there is no reason more can't be removed. on the bright side, this is something that can be improved as opposed to over resection which can be a disaster.good luck

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon

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.