To make an assessment on the outcome of a plastic surgery procedure we always need to see proper before and after pictures. If you don’t have before, and after pictures, don’t ask your surgeon to forward the ones they took. It’s impossible to assess the outcome of your procedure without sufficient information. Weight gain is not in your favor and rarely does it make people look or feel better. Individuals who have less subcutaneous fat and desired quality fat transfer procedures, should consider having more areas treated with liposuction. If more fat is needed to get the results they want. Delivering consistent quality, Liposuction and fat transfer results is more difficult than most people recognize. Number of plastic surgeons of truly mastered these procedures are in a small minority. Being bored, certified in plastic surgery with an overall good reputation and years of experience does not mean that somebody has mastered or is even talented at Liposuction or fat transfer. The skill and overall aesthetic approach to this procedure varies massively among different plastic surgeons. Both Liposuction and fat transfer should be viewed as permanent and irreversible operations. The best shot and getting a quality outcome happens during the primary procedure. From then on revision surgery can potentially create improvements, depending on the patient’s initial candidacy for the procedure and how the first operation was performed. Patients need to be assessed both in regards to Liposuction and fat transfer. Primary body contour is determined by bone structure, not fat distribution. Fat distribution manipulation, but they use a Liposuction and or fat transfer can create impressive results in individuals who are a good candidate for the procedure. The two variables that determine someone’s results are always based on candidacy and the skill of the provider. Understanding your own candidacy, for the procedure is paramount in understanding what the procedure can, and cannot accomplish. It is also imperative to be in the hands of someone who has sufficient skill and experience. To find the best provider I suggest patients have multiple in person consultations. There’s no correct number of consultations needed to find the best provider. Personally, I suggest start by having at least five in person consultations before scheduling surgery. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your own. Look carefully at all areas treated with Liposuction, and to make sure there are no skin, contour, irregularities, and that the results look consistent and desirable in all of the pictures. Make sure providers are showing you appropriate pictures of previous patients who match your characteristics. It’s a good idea to bring pictures of your own body whenever reviewing before and after pictures at home or during consultations. For fat transfer results always make sure after pictures were taken at least 3 to 6 months from the date of the procedure. Early Fed transfer results can look very impressive but do not represent final results. An experience provider should have no difficulty showing me the before and after pictures of at least 50 previous patients. Take careful notes during each consultation, especially regarding the quantity and quality of before and after pictures showing. Providers I most likely to prefer showing you pre-selected images, representing the best results of their career. It’s important to comprehend what average results look like in the hands of each provider. This requires seeing sufficient numbers of before and after pictures to recognize that the results shown represent typical results rather than individual strokes of luck. The process of finding providers for revision of work is more or less the same as finding providers for primary procedures. Revision work is more difficult than primary procedures so patients should be more selective when it comes to finding providers for revision procedures. Best, Mats Hagstrom, MD