Do I need another inner thigh revision? (photos)

Question

I had slimlipo in 3/2018. At the follow up, my PS was out of office. His partner examined me, noticed “blobs” of fat left behind, and suggested revision. A revision was done in July but too much fat was removed above my knee. In Nov., my PS did fat grafting to fill the indentation but the results are horrible. What options are left? Can this be fixed? My legs look awful. Might any of the fat be reabsorbed to even the area out? What can I do at home? Massage? Fascia Blaster? I am devastated.

Jason Emer, MD · Answer

You need a formal evaluation by an expert in body shaping and contouring to determine what is best. Nonsurgical options give only mild improvement as compared to surgical lifting. If there is a lot of skin laxity, a Thigh Lift procedure performed at the same time as a VASER Hi-Definition Revision Liposuction procedure (with Thermi RF, Renuvion, and InMode BodyTite) would give the most improvement. Other options for skin tightening would be a combination approach with Vanquish, truSculpt iD, Venus Legacy, Exilis, and Cellutone / ZWave. I recommend getting a formal evaluation with a high-definition physique expert. Best, Dr. Emer

David Hansen, MD · Answer

This is fixable but needs to be done under tum local with the microcanulas and where the patients are able to turn in all positions and even stand up so fine tuning can be done.  I would lipo all around the thighs and knees to smooth it all out and help the skin tighten alot.

Arian Mowlavi, MD, FACS (license on probation) · Answer

I'm sorry that your results have so far not met your expectations. But based on your photos, you are a good candidate for a liposuction revision.The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or Facetime consultation with a VASER specialist will help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

inner thigh liposuction has probably the lowest overall patient satisfaction of any liposuction area or possibly any plastic surgery procedure. When done correctly patience at best say it's better than it was but rarely if ever leave stellar reviews online.  It's an area that is technically challenging and undesirable results are not too uncommon. In your case too much fat was taken out and it was done in an uneven fashion.  This is very difficult to correct if it all possible.  Fat transfer as an option but unfortunately most of the fad tends to not survive because there is a lack of host tissue to support the grafts. A thigh lift or skin tightening procedure can sometimes help. This however is also not a greater procedure and while it tightens the skin it does not fix the underlying problem of there being an uneven fat layer that is now insufficient in comparison to the rest of your thigh. You cannot change your own fat distribution so there are no home treatments that can make this better. The common term for this is botched. I'm sorry to be blunt but it is unfortunate that this provider did this treatment. Hopefully he or she will have learned and will be reluctant to let greed get in the way of doing the right thing. Best, Mats Hagstrom M.D.

Jon Ver Halen, MD, FACS (license suspended) · Answer

Dear Hester,
Hello and thank you for your excellent question. Based on your photos, yes, you are a candidate for a liposuction revision. You may want to look into a combination of non-surgical, minimally invasive techniques including liposuction, laser, radiofrequency (RF), and acoustic therapy to produce the best balance of fat reduction, skin tightening and smoothing for your body type and anatomy. Your case is not simple. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate you. Good luck!
Best,
  
Jon Ver Halen, MD FACS

Ronald V. DeMars, MD (Retired) · Answer

I'm sorry to hear of your problem. this is becoming all too common with providers that feel laser liposuction is some kind of miracle and overdo the liposuction. This is nearly impossible to correct. I'm sure you will find someone who will tell you they can do it but I hope you have learned that it's not going to happen.

Do I need another inner thigh revision? (photos)

Answers (6)

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