Irregularities in inner and outer thighs - Would fat grafting help or is thigh lift the only way to go? (photos)

I'm sorry to hear of the concerns you've had since your liposuction procedure. An in person evaluation is needed to determine what may help the most in your situation. Fat grafting is sometimes used to improve concave areas. BodyTite may help with tightening of the tissues. See a board certified plastic surgeon near you to learn more.

Delivering consistent quality, liposuction, results is more difficult than most people realize. The number of plastic surgeons who truly mastered this procedure are in a small minority. Most plastic surgeons think they’re better at Liposuction than they actually are. Liposuction results have more variation and outcomes based on who does the procedure than any other plastic surgery operation I’ve ever seen. For these reasons, patient should be very selective when choosing providers for Liposuction.
Liposuction should be considered a permanent and more or less irreversible procedure. Sometimes poorly done liposuction can be improved with fat transfer, revision liposuction, and like you described at times, converting the procedure into a skin tightening operation like a thigh lift, or tummy tuck for the abdomen.
Lower extremities are technically difficult for a number of reasons, and the number of patient will have quality outcomes after lower extremity liposuction lower than it is for treating the torso.I’m not convinced as I lift is indicated. That procedure also does not have the best overall patient satisfaction. Improving previously done liposuction results that are less than the patients at hoped for is many times more difficult and primary Liposuction. Each time someone has had previous surgery makes the next operation more complex, and the likelihood of quality outcomes goes down with each attempted revision.
Your situation is too complex to give you an accurate assessment based on an online post. To get an assessment and better understanding of treatment options he will definitely require an in person consultation, including an exam.
I recommend patience, have multiple in person, consultations before choosing providers for permanent irreversible body contouring procedures, like Liposuction. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of the previous patient who had similar body characteristics to your own. And experience plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Considering that revision work is many times more difficult than primary Liposuction, the importance of finding the best providers going to that saying. Some providers may simply recommend against further Revision Work, because the chance of having significant improvements may be simply too difficult. usually some improvements can be had whether it’s done with that transfer revision Liposuction, or a combination of both. Whether moderate improvement justifies having more surgery, including the risk of things becoming worse is not an easy decision to make. The first step should always be finding the most talented and experienced provider, and this requires having multiple in person consultations.
What happened to you is unfortunate. It’s not the first time I’ve seen people end up worse from revision attempts from providers who don’t have sufficient skill and experience.
Liposuction is deceptively difficult. Both patients and providers sometimes believe Liposuction is a simplistic procedure because it’s easy to do. It may be easy to suck out fat but to delivery consistent quality results is another story. to do that well on a regular basis including being able to make accurate assessments and deliver predictable outcomes, consistent with multiple before, and after pictures of previous patients, who had similar body characteristics is another story.
The first step should be finding the right provider. Start scheduling a series of in person, consultations until you feel like you’ve found the right provider, then follow the recommendations of that person.
Best,
Mats Hagstrom, MD