My body lift changed after 4 months - where can I go from here? I am 6 months post-op

Question

I am 6 months post op and have been very disappointed with my body lift with autobuttox augmentation. I had a seroma. after about 3 months i started getting a pouch over my incision line in the front. Now at 6 months i can grab my stomach again like before surgery with the skin. also my love handles are coming back. my buttox is not full and has these like lines through them as if i was wearing underware. i have gained 10lbs since surgery aswell. im not sure where to go from here.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding your body lift results changing after four months and where you can go from here. Thank you for your history regarding having had a body lift approximately six months ago and being disappointed with your results. Probably the most important thing is your weight gain of 10 pounds. This is significant. The first thing I would suggest is a diet plan. You may want to include a personal trainer and or a registered dietitian. You need to control your weight. This is typically accomplished by increasing protein and decreasing carbs and trying to eliminate sugar and all alcohol. In addition, you need to incorporate exercise. Once you have lost these 10 pounds, I would continue to exercise and try to lose even more weight. I would do this plan for approximately 10 to 12 months. If you still do not obtain the results you were seeking, you may want to revisit with your plastic surgeon. In the meantime, it is essential that you lose the weight that you gained. Thank you for your question regarding your body lift results changing after four months and where you can go from here. I hope this helps. 
Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Carmina Cardenas, MD · Answer

There are always chances to improve. But you must understand that if you developed significant  saggy skin after losing weight or having babies or just bouncing in your weight all your life, means the quality of your tissues have allowed the overstretching. And that won’t change and, it will only be worst over time because we all are getting older and is aggravated with weight variations. 
You may start losing the weight, commit within yourself to exercise and toning your muscles and then may have a consultation with an expert in the After Weight Loss surgery. 
Be encouraged!!! The skin removed and all you had previously was not useless. 
Dr. Cárdenas

Daniel Barrett, MD · Answer

Dear smattee747,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Heather Vande Ven, DO · Answer

If you've experienced changes in your body lift results four months after the surgery, it's important to reach out to your plastic surgeon as soon as possible. They can evaluate your specific situation, conduct a physical examination, and determine the cause of the changes.There are various reasons why changes might occur after a body lift, including factors like healing complications, swelling, or unexpected tissue response. Your surgeon will be able to provide personalized advice based on your unique circumstances.Here are some general steps you might consider:1. Consult with your surgeon: Schedule an appointment with the surgeon who performed the body lift. They will be able to assess your current situation, discuss any concerns you may have, and recommend the appropriate course of action.2. Follow post-operative instructions: Make sure you are following all post-operative care instructions provided by your surgeon. This may include restrictions on physical activity, proper wound care, and wearing compression garments.3. Express your concerns: Clearly communicate any changes or concerns you've noticed since the surgery. Provide specific details about the nature of the changes and when you first noticed them.
Remember, only a skilled plastic surgeon who has access to your medical history and can perform a physical examination can provide accurate recommendations tailored to your specific situation.

Nilay Shah, MD · Answer

Hi! I understand your concern but without a physical examination it would be difficult to advise the correct course of action. Would suggest that you schedule an in person consultation with a board-certified plastic surgeon to know your options and get better recommendations.

Camille Cash, MD · Answer

I encourage you to return to your surgeon to discuss your concerns.  From your description once you are fully healed you may need further skin excision with or without liposuction in order to improve your results.

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