Can we slim the thighs even more or is the risk for indentation too high?

Question

I am 27 years old and underwent smart lipo for saddlebags and inner things in July. I am very pleased with the results, how ever, I still see « pockets » of fat, but they do not qualify as « bulges » (pretty much it’s fat around the thigh) - my doctor doesn’t recommend revision/second procedure, he feels there is a risk of loose skin and a less natural results, he also fears it would create indentation. I fully trust him, but I was hoping maybe someone out there would see room for improvement

Harry T. Haramis, MD, FACS · Answer

Healing can take up to 1 year for swelling, bulges, skin areas, etc.

Attempted revisions while still healing can start the process all over again with little gain and potential for risks- contour, lumps, skin, etc.

After full healing, re-evaluation with your plastic surgeon is recommended. Close follow up during this time for instructions is also recommended.

Ayham Al-Ayoubi, MD, MS, DLO RCS · Answer

Dear Ms Galiofa,Thank you for the question and attached photos. I see no reason why you cant have the Smartlipo for these pockets of fat. The Samrtlipo Triplex can tighten the skin at the same time, nevertheless, you might need to have a course of RF treatment such as Velashape 4-6 weeks after the Samtlipo will give further skin tightening.Mr Ayham Al-AyoubiPlastic & Laser Surgeon

Daniel Barrett, MD · Answer

Dear galiofa,it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jeffrey H. Spiegel, MD · Answer

Yes, I think those pockets could be addressed with accutite. This is a radiofrequency probe put under the skin which can be used effectively to accurately target pockets of fat like that. It's an office procedure with local anesthesia.
The attached video is similar technology for the arms (a much larger area)

Leonard Grossman, MD · Answer

The small bulges you see on the outer as well as the inner thighs should definitely be corrected as it will create a more pleasing result without any risk whatsoever for looseness of the skin. I hope this helps and good luck from New York City Plastic Surgery

Darryl J. Blinski, MD · Answer

100% agreement with your treating doctor. The risk/benefit ratio is so 1 sided to the risks. It does not matter what type of liposuction done or offered btw.

Mats Hagstrom, MD (license on probation) · Answer

Secondary Liposuction typically does not give great improvements on top of what has been achieved with the first procedure. Removing too much fat can create unnatural appearances and compromise skin.

I am in agreement with your provider.

Best,

Mats Hagstrom MD

Can we slim the thighs even more or is the risk for indentation too high?

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