To begin with in order to make a quality assessment on the outcome of a procedure, we always need to see proper before and after pictures. By seeing the before, pictures will begin to recognize if you were a good candidate for this procedure in the first place. Direct you reasons, patience get quality results or unfavorable outcomes from cosmetic surgical procedures. Those two variables are patient candidacy and the skill of the provider. in your case, I have a feeling, I may not have been an ideal candidate for this procedure, and likewise, the procedure was not done in an ideal manner. It looks like your provider treated you heavy, handedly, and removed too much fat and didn’t sell in an uneven manner. This is left you with virtually, no subcutaneous, fat and uneven, fat, distribution and scar tissue. As we age, we need to keep some subcutaneous fat in order to keep the skin looking normal. For that reason patients who have lost skin elasticities should be careful having liposuction and providers should recognize that these patients may not be good candidates for Liposuction, and should instead have a neck lift type procedure. Renuvion probably made things worse by causing more inflammation, fat destruction, and scar tissue formation. Unfortunately, Liposuction is a permanent and irreversible operation. It is very difficult to improve poorly done procedures. Delivering consistent quality, liposuction, results is more difficult than most people believe. Because the consequences of poorly done work to lead to disfigurement patients should be far more selective than they ever thought necessary. I recommend all patients start the process by having multiple in person, consultations to not only get an accurate assessment in regarding the candidacy for various procedures, but also to begin vetting providers to find the best surgeon in your community. The number of plastic surgeons to do a liposuction well on a consistent basis is relatively small. This procedure is far more difficult to do well on a consistent basis, including the ability to make accurate Predictable assessments than most people believe. During each consultation, patient should ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who have similar body characteristics to your own. An experienced provider should have no difficulty showing you with the before and after pictures of at least 50 previous patients. Being shown a handful of preselected images, representing the best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider or how many procedures they’ve actually performed. Unfortunately, at this point, it is going to be very difficult to have any meaningful types of improvements on your outcome. The time to be critical of plastic surgeons is during the interview process when you’re interviewing, plastic surgeons, and vetting providers to find the best surgeon. I wish I could be more optimistic in your case. The choice of procedures, and how the procedure was performed are less than ideal. Best, Mats Hagstrom, MD