I had AirSculpt on my upper and lower abs, flanks and back 4/11/22. I was told to expect 90% of my results by week 12. At my 12 wk recheck, I was unhappy with my results and the Dr said to expect better results at 6mo. It’s now 7 mo and my upper and lower ab measurements are 2-3” MORE than pre-sx. I have visibly more fat on my abs. I am fit, healthy, workout, eat great. Was around 22% BF at the time of sx. What is wrong with me? Why do I look worse now? Could I still improve? I’m so disappointed
Answer: Liposuction results To assess the outcome of a cosmetic surgical procedure we need to see proper before and after pictures. Liposuction results will vary based onto important variables. The first is the candidacy of the patient and the second is the skill and experience of the surgeon. Individuals with thin layers of subcutaneous fat are not going to have dramatic changes in contour from Liposuction. Consistent quality plastic surgery outcomes always begins with quality consultations. During in person consultations their individual candidacy should be assessed and proper before and after pictures should be shown giving the patient realistic expectations of what can and cannot be delivered with each procedure. Full body or high-volume liposuction procedures often stimulate people to gain weight after the procedure. Weight gain after liposuction will follow the new fat distribution which often increases visceral fat instead of subcutaneous fat. For lack of results on the front of the abdomen patients need to first and foremost make sure that the weight is proportionate to what it was before surgery minus the same amount of fat that was removed. For example, if some had a pre-procedure weighed 143 pounds and had 800 cc of fat removed their postoperative weight at six months should be 141 pounds more or less.You can talk to her surgeon about your mom fat removed and review your pre-procedure wait and compared to where you are now. Liposuction rarely delivers sufficient changes to create inches of difference in clothing size or substantial weight fluctuations. In the end low patient satisfaction from this procedure is either related to poor candidacy, poor performance, weight gain or a combination of those three. Showing a Single picture doesn’t do much for assessing the outcome of the surgery If you don’t have a proper before and after pictures then ask your provider to forward the ones they took. Most people see something resembling final results by about six weeks and my three months results are final. To get an accurate second opinion consultation I suggest scheduling those is in person consultations for the other board-certified plastic surgeons. From what you describe I believe you may have had expectations that Liposuction could deliver more than as possible and you may not have had a clear understanding regarding differentiation between subcutaneous fat, visceral fat, skin laxity and potential muscle separation if you’ve had previous pregnancies. It’s also possible that your provider removed insufficient amounts of fat but your picture doesn’t show significant amounts of fat available to be removed. Your single picture shows well defined abdominal muscle wall with very little subcutaneous fat and slight bulging of your muscle wall. The bulging of your abdomen is either related to excess visceral fat or previous pregnancies. It’s important to recognize that Liposuction only treats subcutaneous fat and there are other tissue variables that contribute significantly to the contour of the abdomen. This is especially true for postpartum women. Pregnancy related changes if applicable are specifically muscle separation and skin laxity. Previous pregnancies do not change fat distribution. I don’t know if you have children or not but it is a very common misconception of the patients who seek liposuction as an alternative to a full tummy tuck. It’s difficult to make a quality assessment based on such limited information. To get an accurate assessment requires an in person consultation. For a second opinion consultation say recommend patients come well prepared to bring in with them all before and after pictures in a copy of your operative report. these are all part of your medical records and available if you ask for them. It is unfortunate when assessments are not done sufficiently with a thorough explanation of what a procedure can or cannot accomplish. Sometimes patients simply weren’t a good candidate for a certain procedure but believe that they were. Other times providers do not have sufficient skills and experience to deliver consistent quality results. Often it’s a combination of both. Your picture however does not show any indication of poorly done Liposuction. if anything it looks like an exceptional outcome. alternatively consider reposting with before and after pictures. If you don’t have those then ask your provider to forward them. When results substantially less than what patients had anticipated it can be helpful to know that the procedure was done correctly. This requires making an assessment on the outcome of the operation. With the understanding that a patient may not have been an ideal candidate it’s easier to accept the outcome then living with the belief that the procedure was not done well. Managing patients who are unhappy with cosmetic surgical outcomes is a skill in itself. Dissatisfaction is best eliminated by having thorough truthful in depth in person consultations at which time quality before and after pictures that are accurate and Haily representative should be shown and limitations of the procedure should be discussed. Be cognizant of your weight because it has a big effect and potential outcome. This is especially true for individuals who have slight excess visceral fat. Best, Mats Hagstrom MD
Helpful 3 people found this helpful
Answer: Liposuction results To assess the outcome of a cosmetic surgical procedure we need to see proper before and after pictures. Liposuction results will vary based onto important variables. The first is the candidacy of the patient and the second is the skill and experience of the surgeon. Individuals with thin layers of subcutaneous fat are not going to have dramatic changes in contour from Liposuction. Consistent quality plastic surgery outcomes always begins with quality consultations. During in person consultations their individual candidacy should be assessed and proper before and after pictures should be shown giving the patient realistic expectations of what can and cannot be delivered with each procedure. Full body or high-volume liposuction procedures often stimulate people to gain weight after the procedure. Weight gain after liposuction will follow the new fat distribution which often increases visceral fat instead of subcutaneous fat. For lack of results on the front of the abdomen patients need to first and foremost make sure that the weight is proportionate to what it was before surgery minus the same amount of fat that was removed. For example, if some had a pre-procedure weighed 143 pounds and had 800 cc of fat removed their postoperative weight at six months should be 141 pounds more or less.You can talk to her surgeon about your mom fat removed and review your pre-procedure wait and compared to where you are now. Liposuction rarely delivers sufficient changes to create inches of difference in clothing size or substantial weight fluctuations. In the end low patient satisfaction from this procedure is either related to poor candidacy, poor performance, weight gain or a combination of those three. Showing a Single picture doesn’t do much for assessing the outcome of the surgery If you don’t have a proper before and after pictures then ask your provider to forward the ones they took. Most people see something resembling final results by about six weeks and my three months results are final. To get an accurate second opinion consultation I suggest scheduling those is in person consultations for the other board-certified plastic surgeons. From what you describe I believe you may have had expectations that Liposuction could deliver more than as possible and you may not have had a clear understanding regarding differentiation between subcutaneous fat, visceral fat, skin laxity and potential muscle separation if you’ve had previous pregnancies. It’s also possible that your provider removed insufficient amounts of fat but your picture doesn’t show significant amounts of fat available to be removed. Your single picture shows well defined abdominal muscle wall with very little subcutaneous fat and slight bulging of your muscle wall. The bulging of your abdomen is either related to excess visceral fat or previous pregnancies. It’s important to recognize that Liposuction only treats subcutaneous fat and there are other tissue variables that contribute significantly to the contour of the abdomen. This is especially true for postpartum women. Pregnancy related changes if applicable are specifically muscle separation and skin laxity. Previous pregnancies do not change fat distribution. I don’t know if you have children or not but it is a very common misconception of the patients who seek liposuction as an alternative to a full tummy tuck. It’s difficult to make a quality assessment based on such limited information. To get an accurate assessment requires an in person consultation. For a second opinion consultation say recommend patients come well prepared to bring in with them all before and after pictures in a copy of your operative report. these are all part of your medical records and available if you ask for them. It is unfortunate when assessments are not done sufficiently with a thorough explanation of what a procedure can or cannot accomplish. Sometimes patients simply weren’t a good candidate for a certain procedure but believe that they were. Other times providers do not have sufficient skills and experience to deliver consistent quality results. Often it’s a combination of both. Your picture however does not show any indication of poorly done Liposuction. if anything it looks like an exceptional outcome. alternatively consider reposting with before and after pictures. If you don’t have those then ask your provider to forward them. When results substantially less than what patients had anticipated it can be helpful to know that the procedure was done correctly. This requires making an assessment on the outcome of the operation. With the understanding that a patient may not have been an ideal candidate it’s easier to accept the outcome then living with the belief that the procedure was not done well. Managing patients who are unhappy with cosmetic surgical outcomes is a skill in itself. Dissatisfaction is best eliminated by having thorough truthful in depth in person consultations at which time quality before and after pictures that are accurate and Haily representative should be shown and limitations of the procedure should be discussed. Be cognizant of your weight because it has a big effect and potential outcome. This is especially true for individuals who have slight excess visceral fat. Best, Mats Hagstrom MD
Helpful 3 people found this helpful