Can I have a revision on my ab etching to suck out more fat, without messing up the ab etching? (Photos)

Hi Free_Spirit77, thank you for your question regarding whether you can have a revision on your ab etching to suck out more fat, without messing up the ab etching. Thank you for your pictures and history. The short answer is YES. From your pictures, it does appear that you have some excess abdominal fat, which could be removed with VASER liposuction. Fat should be aspirated or removed from your entire abdomen to preserve the VASER HI DEF look. An abdominoplasty or tummy tuck will destroy your VASER HI DEF results. DO NOT DO IT. Additionally, you do not need a regular or reverse tummy tuck. You do not have much abdominal fat, and you certainly do not have excess abdominal skin or weak rectus abdominis muscle. Patients can have a reverse tummy tuck through the IMF; however, again, you do not need a tummy tuck. Good luck. I hope that I have answered your question regarding whether you can have a revision on your ab etching to suck out more fat, without messing up the ab etching.
The VASER procedure takes about two to three hours to complete. VASER HI DEF can be performed under IV sedation or general anesthesia. Most plastic surgeons prefer general anesthesia because more fat can be removed safely. Also, general anesthesia is less painful compared to IV sedation. Plan for a 10-day recovery.
If you have any more questions regarding VASER liposuction or reduction surgery, contact an experienced plastic surgeon. Since VASER HI DEF liposuction is a specialized procedure, please seek an experienced, board-certified plastic surgeon with significant experience in VASER HI DEF liposuction. Do your research. Look at their website. Look at their reviews on RealSelf. If you cannot find an experienced, VASER HI DEF liposuction plastic surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS, FASMBS. ( Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

I'm sorry to say but your surgeon did a poor job on your hi definition liposuction, and I try to avoid saying things like that. They left way too much fat on your abdomen. The good news is this can likely be improved with additional liposuction, though it may be a difficult procedure to perform. The bad news is that you probably can't have any type of tummy tuck because the etching that was performed will likely not line up properly with the underlying muscle. I would recommend seeing someone experienced in advanced body sculpting to see what options they may suggest.

(Based off your photos - ideally would need better angles and befores for comparison) But I would recommend reducing your body fat and increasing your muscle mass index first. You have a few components that are multifactorial in your issues - 1. some looseness of skin, 2. some areas of residual fat, 3. not enough muscle to back up the previous two (esp in the abs). So before committing to a skin procedure and take on a big scar or more lipo again and having potential irregularities post lipo - I recommend you decrease body fat - increase protein intake ratio to your daily intake (try for 30 grams per meal over 3 meals or more), calorie track and be at a slight deficit, 8-10k steps per day / 3-4 liters of water per day to get you to the calorie deficit and lift weights 4-5 times per week with progressive overload (meaning lift heavier with good form and increase weight as your go). Try this and be strict with it for about 3-6 months before you see any improvement and see if that helps with your ab etch. Ideally it should (as I protocol this in all my ab etch patients prior to doing any further surgery and if they are strict and disciplined at doing the protocol - usually that more than addresses the issues).