Saddlebags return 3 years post lipo, can you advise? (Photos)

Thank you for your photos, they actually look pretty good. In regards to exercise after surgery, it can be helpful in maintaining your results. More importantly, is that you maintain a good and healthy diet, avoiding excessive carbs (sodas, bread, pasta, candy, juices).

It appears there is some skin laxity which is generally not treated very well with lipo. In cases of mild to moderate skin laxity energy devices have a role in treatment. This includes BodyTite, Morpheus, J-Plasma, and even Vaser.

Three years of aging and the pregnancy can definitely be enough to see a significant change in your body.
Improving lower extremities on women is challenging. Often there are issues with skin laxity, cellulite and loss of skin elasticity that continues and worsens every year.
While removing fat can reduce size and potentially improve contour doing so also compromises skin quality especially when skin elasticity is not at its best. for the same reason older individuals are not good candidates for equality Liposuction results as we age liposuction results can also diminish.
Removing fat adds to skin laxity and age and weight fluctuations worsen skin elasticities and skin laxity.
Even those who maintain weight well pregnancy always causes some weight fluctuations and this can have an effect in areas other than the abdomen.
Most of your concerns are probably easily attributed to skin issues and are unlikely related to fat distribution.
Further liposuction is unlikely to make substantial improvements.
Unfortunately there are no good quality skin tightening treatments other than direct skin excision which leaves highly visible scars.
There’s simply is no good treatment for women who have flabby size bed worsen with age.
For some individuals skin surgery like a thigh lift is justified but for others the scar and procedure itself are unacceptable.
There are certain parts of the body we have a great treatment options for like the abdomen and face but unfortunately lower extremities lag far behind when it comes to creating amazing transformations in the plastic surgery world.
Best,
Mats Hagstrom MD