Can this be fixed by losing weight? (Photo)

Question

Hello, I had an extended TT with lipo 360 9 months ago. My back has ripples, uneven healing, deposits of fat and is very lumpy. My doctor tells me this is edema and will subside . I think I was botched. Can this be fixed by losing weight and exercising or is this permanent damage from a poorly done surgery?

Jason Emer, MD · Answer

This needs a formal evaluation. Consult a body sculpting expert to discuss your best next steps. -Dr. Emer

Daniel Barrett, MD · Answer

Dear Anahellmer,
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

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

Back contour irregularities are caused by uneven fat removal and skin redundancy. Your concern areas can be corrected with VASER and Renuvion skin tigtening.

What can be done to fix uneven contour from previous lipo procedure?

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

It looks like you have a skin laxity on your back. Skin laxity with the arms in a down position on the back is pretty common. Try putting one arm over your head and stretching your back while looking in the mirror to see if the contour improves with your skin under tension. Alternatively reach around with your hand and pull up on the back to see if the waist contour improves by putting the skin under tension that way.

Extending the tummy tuck and removing skin laxity on the backside as an extended or possible wraparound tummy tuck is probably the best choice.

When assessing the outcome of a surgical procedure we typically always need to see before and after pictures. If you don’t have before and after pictures ask your surgeon to forward the ones they took.

It does not look like poorly done liposuction. It looks like skin laxity that should’ve been addressed before your procedure.  differentiating fat distribution in skin laxity is something I deal with on a daily basis when talking to patients.

Patients often believe skin laxity represents excess fat.

It’s hard to tell exactly how old the procedure was performed without seeing competent before and after pictures.

Best,

Mats Hagstrom MD

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