Banana roll after 360 liposuction of thighs. Can this be fixed? (Photo)

Several times a day I post about Liposuction on this form and included in almost every single post is the sentence “delivering consistent quality results for the Liposuction is more difficult than people believe.”

I also tell people that “Liposuction is permanent and irreversible”

As well as to minimize the chance of having an undesirable outcome patients need to choose the most talented and experienced provider in their community. The best way to do that is to have multiple in person consultations at which time patients should demand to see all before and after pictures.

Lower extremity liposuction is technically difficult and the banana rule should not be treated.

Having patience go in for what seems like such a benign simple procedure like breast fat transfer just to get a little help seems easy enough but patients do not consider the implications of the Liposuction.

I’ve taken care of lots of people like yourself. They usually don’t mention the fat transfer part. When things go wrong it’s always the Liposuction though delivering quality fat transfer may be just as difficult.

The problem is that fat was inappropriay removed and this had undesirable consequences. Grafting fat back into the area is technically difficult because the area that needs the volume the most is now lacking in host tissue to support fat graft.

It may be possible to graft fat back to restore your thigh volume but doing so typically requires multiple procedures.

Considering that revision work is many times more difficult than primary work it goes without saying this should only be done by someone who is very talented.

Again, the best way to find the most experienced and talented provider is to meet a lot of plastic surgeons and carefully but somewhat aggressively vett each provider during the consultation. Do that to by asking each provider to show their entire collection of before and after pictures for the procedure you’re interested in. For primary procedures an experienced provider should have no difficulty showing you 50 or more sets of before and after pictures. Highly experienced providers will have several hundred.

Sing a handful of pre-selected pictures which in fact represent the best results of that providers career is insufficient to get a clear understanding of what average results look like.

Ask the provider to show examples of excellent outcomes, average outcomes and less than outcomes.

I also recommend you read all reviews on various physician review websites avoiding providers for any significant number of justified negative reviews.

The absence of justified negative reviews is more important and more telling than an abundance of positive reviews.

You may want to consider sharing your story with others in a fair professional manner by writing a review about your experience.

I’m sure other potential patients would be interested in hearing your story.

In the end your surgeon is responsible for the outcome of the procedure and you are responsible for choosing that surgeon.

Best,

Mats Hagstrom MD