Treatments to Correct Bad Smart Lipo Results?

Question

I had Smart Lipo done 3 month ago. I had bad infection (Staphylococcus Epidermis) after the procedure. My stomach looks terrible and I can’t understand what happened. Please help.

Brent Moelleken, MD · Answer

My practice consists more and more of addressing concerns of patients who have undergone "new procedures" in the past... threadlifts now requiring facelifts and removal of materials... aggressive ab sculpting now requiring revisional liposuction... permanent and semipermanent fillers now requiring removal and replacement with LiveFill...  Lifestyle and mini lifts now requiring complex revision facelifts.  Now it is treating uneven results and burns from laser liposuction.
One thread is in common with all of these procedures.  They were new, heavily marketed, and often performed by non-board certified plastic surgeons.  Many well respected plastic surgeons held off and did not offer them to their patients until the safety profile was proven.  If and when they did incorporate the techniques into their practice, it was with the judgment of thousands of procedures, adding a new tool to their toolbox, rather than using a completely new technique.
The tightening effect of liposuction laser is actually scarring below the skin.  
I suspect the unevenness will best be fixed by a board certified plastic surgeon with an interest in revision liposuction techniques,

Marcus L. Peterson, MD · Answer

Liposuction results are dependant on the skill and experience of the person doing the procedure and not the equipment that is used.  Many physicians are being sold new equipment with lasers and ultrasound and instructed on how to use it by way of video.  Many of these equipment purchasers are novices at liposuction.  It is no surprise that we are seeing some bad results across the country. 
The correction of your situation may require more liposuction to fine tune the high areas and may require some fat transfers to improve the low areas.  It may require several procedures to make the full correction.  The longer you can go to let the tissue soften the better it will be to get a stable long term result.  I would recommend that you massage the area and help to loosen the underlying scar tissue.
Choose a board certified plastic surgeon that has a large experience with liposuction and this will be your best chance for correction.

Hisham Seify, MD, PhD, FACS · Answer

Localised lipodystrophy following smart lipo or other liposuction types could be a very disturbing post operative morbidity. Infection, in general, is quite rare following lipo in a healthy individual. Once the infection is completly cleared, you will require a revision of your liposuction (with a regular liposuction technique with smaller diamter cannulas to acheive more symmetry. If you have too much skin excess left behind, an excision could be done at the same time.

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