Terrible Liposculpture - high def. Can I get this corrected? (Photo)

Question

Hi, please can I get some advice. I went to a surgeon for Liposculpture and the results are terrible, even almost two years post surgery. Before I had it done I had a lovely flat stomach, I just wanted a bit more etching. Now I have a terrible firm pouch which shows under my clothes and very uneven skin (bumpy) on either side of my tummy. I would love to know if I can get this corrected and how please? Wish I had never had it done. Would fat injections work? Or will I need surgery?

Jerimiah Mason, MD · Answer

Fat dissolving injections will probably make things worse, not better.  The only hope you have for improvement is by going to an experienced surgeon to do more liposuction, probably using a Vaser device with it.  Even then I don't know how much improvement you can reasonably expect to see.

Dev Vibhakar, DO, FACS · Answer

Hi! Thanks for your inquiry and sorry you are not happy with your results. With regards to your concerns, it seems like you have developed significant fibrosis and contour irregularities related to scarring. Since you are 2 years out from surgery this will likely not soften. Unfortunately, you will need corrective surgery to help improve this. Fat injections will help (which is a surgical correction) along with SAFE technique liposuction to break up scar tissue and redistribute the fat. Following surgery, lymphatic massaging will be very important to help prevent fibrosis/contour irregularities.Hope this helps,Dr. Dev

Luis A. Mejia, MD · Answer

Dear Donna106, thanks for sharing your pictures and photos after evaluating your case you look like to be benefit from Vaser Liposuction on your abdomen and flanks.  Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Jose Leon, MD · Answer

Hello, thank you for the question and the pics. I'm truly sorry about your result. 
There are two ways you can undergo, surgical, and non surgical or mix them up
 1. use ultrasound liposuction, to just break up the scar  and even out,  as best as possible your subcutaneous tissues, rather than just sucking fat. 
2. Use carboxitherapy, this uses CO2 gas pumped under the skin to dissect and break up the scar tissue.
3. Try and see if there if there is PB serum available in or near your home town. It's a scar tissue dissolver that works really great.
In the end, one thing will not make it go away completely, most of the time you would have to try different approaches . Good luck

Manuel Diaz, MD · Answer

Thank you for sharing your concern and for the photos. Two years is enough time to have another corrective surgery so that you can achieve the desired results. It is important that you look for qualified doctors who have preferably already performed that type of surgery hundreds of times. It is also important that you verify any surgery that has been performed on bodies. with your same characteristics. 
Maintaining a good diet and maintaining weight helps maintain good post-surgery results. good luck!

I am Doctor Díaz, Plastic Surgeon.  I would love to help you. I perform surgeries at  CECIP Plastic Surgery Clinic, in the Dominican Republic.

Mats Hagstrom, MD (license on probation) · Answer

This response was dictated using Word recognition.
My apologies for any grammatical errors.
I’m not a big fan of high definition, a.k.a. etching type Liposuction.
Very few people are true candidates for the procedure and even if they are with the results typically look terrible.
High definition typically only works on slim athletic individuals with tight skin.
It is an irreversible operation.
Fat transfer is unlikely to work to correct your outcome Because the areas where you need fat are devoid of “host tissue” to support the grafted fat. Attempts at grafting fat in treated areas tends to lead to graft failure with increased scar tissue and lumpy outcomes.
Getting Liposuction is basically like getting a tattoo.
Delivering consistent quality liposuction results is more difficult than most people realize.
Unfortunately, there has been a trend to do this kind of work.
There’s a certain plastic surgeon from South America, who is promoting aggressive use of VASER with high definition as the standard of care.
Unfortunately, results end up, looking like your pictures
I think any plastic surgeon who thinks it’s easy to correct your outcome should probably be rejected.
It may be possible to have slight improvements, but The improvements will be subtle and most likely would require multiple operations.
In reality, I think your best course of action is to accept the outcome for what it is and recognize that your surgeon did not know what they were doing.
I’m sorry you find yourself in this situation and I wish I could be more optimistic.
It is my goal to help people from making bad choices, especially regarding Liposuction and ending up being disfigured.
For those considering Liposuction, I generally recommend people start the process by having multiple in person consultations with plastic surgeons in your community seem to have extensive experience with Liposuction.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patient, so have similar body characteristics to your own period
 Bring pictures of your own body to use as reference when reviewing before and after pictures.
Do not rely your memory or looking in mirrors.
Liposuction is a major component to understanding what your results are going to look like.
Patient candidacy and provider selection are the two single most important variables.
 Being shown handful of preselected images representing only the best results of a providers career may be insufficient to get a clear understanding of what results look like in the hands of each provider.
And provider should have access preferably before, and after pictures.
They should be able to show you lots and lots and lots of before and after pictures of people who look just like you do.
 Take notes during each consultation, especially regarding the quantity and quality of before and after pictures.
There’s no correct number of consultations needed to find the right provider.
The more consultations you scheduled the more likely you are to find the better provider for your needs.
 I generally recommend virtual consultations. The biggest mistake I see patients having only one consultation and then scheduling surgery.
The second biggest mistake I see patients make is assuming that board certified plastic surgeons with several years of experience and multiple positive reviews has mastered most plastic surgical procedures.
This is simply not true.
Delivering consistent quality Liposuction results is far more difficult than most people realize.
The number of plastic surge of truly mastered this procedure is quite small.
When in doubt, slow down and schedule more consultations.
I’m sorry this happened to you and wish I could be more helpful.
Best,
Mats Hagstrom MD

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