How to approach consultation(s) for revision–given that the original surgeon is senior and well-known in my area?

Pending a formal evaluation, you may be a good candidate for a Revision Liposuction. You need a formal evaluation by an expert in body shaping and contouring to determine what is best. I recommend seeking another physician so you can achieve the results you desire.

The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face. Cellulite should also be treated with a combination of QWO or Cellfina, subcision, and/or fillers such as Bellafill, Renuva synthetic fat, or Sculptra. If skin is very loose before surgery, then it will need to be removed: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin. Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

All plastic surgeons have patients who have not been happy with the outcomes of the procedures and have sought second opinions by other providers.

We all end up seeing each other‘s work that way.

Your experience was probably more of a fluke than common or typical behavior.

I think most plastic surgeons considering the personalities that go into this field I would be honored that you sought there assistance for help with the outcome of a procedure done by the alpha provider.

An opportunity to knock the king off his throne.

Perhaps the person you consulted with simply felt that your primary provider is superior and could do a better job?

Regardless I don’t think this will be an ongoing trend.

Well plastic surgeons have big egos that is not true for all of us and there are plenty of plastic surgeons in New York City to talk to.

To find the most appropriate provider for primary or revision procedures I encourage patients to have multiple consultations regardless.

Be an advocate for yourself and expect each and every provider to be an advocate for your well-being as well. if not then choose someone who will.

Best,

Mats Hagstrom MD