Repeat Liposuction after 10 years- realistic goals? (photo)

I would use a combination approach to revision that includes liposuction, lipocavitation, fibrous release, fat grafting, scar release, PRP SC, and multiplane tissue tightening with RF.
Best, 
Dr. Karamanoukian
#Realself100 Surgeon

Thank you for your question and photos. Based on your photos, you are a good candidate for VASER liposuction. Even though you had liposuction a long time ago, your tissues will be more fibrous in nature. The VASER is an internal ultrasound which can break up more fibrous fat both superficially and deep to allow for excellent body sculpting. You will need liposuction of your torso 360 degrees to give you an hourglass shape. You would benefit from fat grafts to the buttocks to further enhance your feminine shape. Since you had twins, there's a good likelihood that an abdominoplasty might be required at a later date. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Hi
Thanks for your question.
My response is obviously limited by my being unable to examine you. Judging from your pictures you appear to have good abdominal skin quality so for as long as the fat is not fibrous you should get a great result from liposuction especially if an adjunctive technique like Vaser or HD liposuction is used.
The pictures suggest some skin laxity and likely cellulite over the thighs. You should still get contour improvement from liposuction of the deep thigh fat but may require additional treatment superficially such as Thermitight or even a lift to address the skin. This area would be the more complicated area to address. I would definitively suggest you see a board certified PS to be properly evaluated and treated.
I hope this helps.....