To make an accurate assessment regarding the outcome of a plastic surgery procedure we generally always need to see a complete set of proper before and after pictures. Without knowing what you look like before the procedure, it’s difficult to understand why the outcome looks the way it does. If you don’t have before, and after pictures, then contact your previous provider and ask them to forward the pictures they took. There are generally two variables that determine cosmetic surgical outcomes. The first is the candidacy of the patient and the second is the skill and experience of the provider. I think in this case both were contributing. Your picture shows significant skin laxity on your abdomen and skin. Laxity is probably the number one reason patients failed to get quality liposuction, and to some degree fat transfer results. You also have some cellulite which could be made worse from fat transfer. To find the right provider, I suggest patients have multiple in person, consultations with providers in their community if possible. I generally do not recommend patients rely on virtual consultation if it all possible, and I generally do not recommend traveling long distances for elective surgical procedures, though I recognize sometimes there may be a lack of local talent. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your own. An experience provider should have no difficulty showing you the before, and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing the best results of a providers career is insufficient to get a clear understanding of what average results will look like, What your results are likely to look like or how many of these procedures as surgeon has actually done. There’s no correct number of consultations needed to find the right provider. Delivering consistent quality, liposuction and fat transfer results is far more difficult than most people realize. The number of plastic surgeons who truly mastered this procedure are in a small minority. Considering how much variation there is in Liposuction skill and experience, my recommendation is patience should consider having fiber six consultations before selecting a provider. Revision work is many times more difficult, and complex and primary procedures so the importance of provider selection that becomes even greater. It’s important to have your before and after pictures so if you don’t have those, please try to obtain them. Best, Mats Hagstrom, MD