Options for my ugly tummy 11 weeks post-op (BBL/Lipo360/BodyTite)? (photos)

Question

Overall, I'm absolutely thrilled with my BBL (lipo 360/BodyTite) results! However, at 11 weeks post-op, I still have a hard lumpy tummy with a hard vertical line and loose skin above my belly button. Is there anything I can do to improve my results (in addition to compression)? Will massages be helpful this far out from surgery? Abdominal stretching exercises? Do I have any options for revision procedures? * Post-op pictures were taken at 7 weeks but there's been no change in the 4 weeks since.

Daniel Barrett, MD · Answer

Dear Rainastevenswins,
I understand your concern and it is quite normal to be concerned about the outcome following a tummy tuck surgery. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides you will be able to see the final result of your surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

At seven weeks your results are starting to represent final results.

You may see 20% change or so by waiting further.

Your results are not going to improve with time. They are a result of how the procedure was performed and there is really nothing you can do to change the outcome at this point.

Your treatment was uneven and highly aggressive and this is what the result looks like.

Because the treatment was aggressive it’s going to be very difficult to correct this outcome. Further Liposuction is not a good treatment option when people have been over treated in the first place.

Liposuction is a permanent and in many ways irreversible procedure.

Correcting for results comes down to revision Liposuction, fat transfer or converting the procedure to a skin removal procedure like a full tummy tuck.  none of these in reality are great options for you.

Typically each individual subarea is analyzed to see if small revision Liposuction or fat transfer can even the contour but the excessive scar formation and overall lack of normal subcutaneous fat is a difficult situation to deal with. Send a transfer is challenging because over treated areas now are completely devoid of healthy host tissue to support the graft.

Some improvements maybe possible. Patients need to keep their expectations low and expect to need several rounds of revision treatments if for transfer is involved.

In your case I don’t think converting this to a tummy tuck is going to do the trick because you have problem areas above your bellybutton.

You should for sure give this at least six months and preferably longer before considering any secondary procedure.

Be leery of providers who tell you this is easy to fix or that “breaking up the scar tissue using a VASER” will help. Recognize that further surgery creates more scar tissue.

Best,

Mats Hagstrom MD

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