Are there just liposuction revision specialists? I need help with fat grafting from botched lipo

Question

I was botched on my thighs and stomach. I’ve had three revisions by a different board certified PS. He is wonderful but I have learned that he may not be the best person to finish the job. All these surgeons do everything from boobs to noses to skin to faces to lipo. I want to find someone who just does revisions. Any recommendation would help. I know what I need. Fat grafting to the botched areas. I don’t have a lot of fat left and am scared to get botched.

Daniel Barrett, MD · Answer

Dear gonetofar,I would have to examine you but it appears that this is a contour irregularity after liposuction.  This happens often when areas the undergo liposuction are not feathered appropriately.
The good news is that it can be fixed and I have done so with good results before. The revision can often be done under local as well.While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

George Marosan, MD · Answer

Thank you for your question and photos. No plastic surgeon starts out with aspirations to become a revision specialist. Revision surgery is often difficult, not as rewarding as if it would’ve been done right the first place.You would need a full evaluation, unfortunately your body is covered by clothing. You need VASER Hi Def liposuction of your abdomen, possibly back, waist and hips and fat grafting to the depressed areas to give you a normal, natural shape.Liposuction is done not only by plastic surgeons, but also by many other physicians with other surgical specialists or even non surgeons. Why? Because they think it is easy. This is the furthest from the truth, that is why you see so many posts from disappointed patients.As a board certified plastic surgeon experienced in advanced body sculpting techniques, I see a lot of revision surgery. I rather see a patient who did not undergo botched surgery, but the lure of cheap prices and over promised outcomes are hard to resist. Unfortunately, these become expensive propositions and emotionally taxing.See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Jason Emer, MD · Answer

I suggest seeing an expert, soemtimes unfortuately there is no "cure" and the only satisfaction you will get is from improvement.  You may also need skin removal or lifting with the fat grafting depending on how your tissue is.  I suggest seeing an expert.  Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

Our Hidef Liposuction protocol addresses skin tightness and laxity, contour irregularities, and body proportions to reestablish harmony in the body. Options include fat cavitation, fibrous release, RF multiplane tissue tightening, fat grafting, fat matrix, liposculpture, and liposuction. Cellulite can also be addressed with our exclusive Brazilian Cellulite Treatment. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Arian Mowlavi, MD, FACS (license on probation) · Answer

I highly recommend VASER. Traditional liposuction is very limited and only removes partial amounts of fat. VASER improves irregularities and removes fat. Consult with a VASER specialist to address all questions and concerns about revision.

Are there just liposuction revision specialists? I need help with fat grafting from botched lipo

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