Can this be revised and look normal or is it to late? (photos)

Smartlipo deformity is something we see all too often after smartlipo, literally on average one patient a week with a very similar story and outcome.   Smartlipo uses a laser to burn the fat deep to the skin prior to liposuction.   When done in an irregular or aggressive fashion the burned subcutaneous tissue produces severe indentations.   With time, the skin above these indentations can sag over the "stuck" scar.   This is a unique deformity in liposuction as other modalities do not cause as much tissue injury as the laser and do not cause as much scar tissue.This is a difficult thing to fix generally requiring some combination of scar tissue release, fat grafting, fat removal or skin removal.  There are many manufacturers of "tools" to help the plastic surgeon do liposuction, smartlipo is one of those tools.  The truth is that an expert can get similar results with any of them.  It is not the brush that the artist holds but rather the artist himself that creates the masterpiece. 

Hello Imdthomas79,,Thank you for you questions and photos.  I'm very sorry that you are going through this!  Unfortunately, Smart Lipo can cause significant contour irregularities and scarring all too often.  The good news is that it is most usually fixable.  The rippling and indention can certainly be significantly improved with aggressive lipocontouing, and may require fat grafting to correct some of the deeper indentations.  I would encourage you to schedule a consultation with a board certified plastic surgeon in your area with extensive liposuction experience in order to discuss your treatment goals and options available to get you the best result possible.Best Wishes!Dr. Brown

What a mess! Various corrective options are available for the upper abdomen and they may need to be combined or staged to improve your appearance. If you are a smoker, these options will probably not be valid. If the tissues are semi-elastic and improve with traction, a reverse abdominoplasty combined with corrective lipo and fat injections might be reasonable. Fat injections may need to be repeated. Liposhifting and fat grafting would be a less invasive option which may also require more than one session. Don't expect perfection.