After weight loss and lipo, what skin tightening procedure should I try? (Photos)

Question

I'm mid thirties and never been pregnant. About 3years ago, I lost about 30lbs. A year ago, I did hi-def lipo on my abdomen. I didn't like the result and got a revision 6-7months ago with RF I still don't like the result, it feels flabby to me. What other procedures could I try or did the doctor not take enough enough fat away?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

George Marosan, MD · Answer

Thank you for your question and photos. As a Total Definer surgeon, I do a lot of VASER Hi Def Liposuction (VHD). I can tell you from your posted photos, that you did not have that surgery, no matter what your surgeon called it. VASER Hi Def Lipo 360 gives the best results. You have excess fat all the way around, fat bra rolls, poorly defined abdomen and back without feminine curves as seen in the side views. If you were my patient, I would recommend VHD with a lipoabdominoplasty to give you an hourglass figure vs the rectangular shape you have now. See a board certified plastic surgeon with experience in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

To start with we don’t assess patients torso with them in the sitting position.
Everybody has skin redundancy of their abdomen when they flex their abdomen like when they’re sitting good
I don’t think your lip section was done well.
Were you laying on your back for the whole procedure?
They didn’t treat your love handles and didn’t give you a good looking waist. 
This is not uncommon.
Most plastic surgeons or other doctors doing Liposuction aren’t very good at it.
Mastering Liposuction is really difficult and most providers never get to that level.
I would avoid radio frequency because I don’t think it’s going to do anything for you.
In my opinion, there’s nothing that’s going to tighten your skin except direct skin excision which leaves long scars i.e. tummy tuck
I find it difficult to get good Liposuction results as secondary procedure is meeting once someone’s had Liposuction. I can’t get the same kind of results. I can’t on someone who’s never had Liposuction before.
Based on all of this, I recommended maybe you don’t have any more treatments.
If you can find somebody who’s really good to at least finish the first job correctly so that you waste and love handles are brought in correctly. It might look a little better.
I wish I could be more optimistic.
Best,
Mats Hagstrom MD

After weight loss and lipo, what skin tightening procedure should I try? (Photos)

Answers (3)

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