How to fix lumps/dents uneven lower abdomen after liposuction? (Photos)

Question

I had BBL 10 months ago, my lower stomach was left with dents/lumps. I’m not sure but the skin is very uneven. I then went into a review surgery 6 months after the first one hoping to fix it. It has been 3 months and I can’t see any improvement. My doctor lied having 10 years of experience when he only had 1. Could this results be some sort of mistake from the Doctor? I’m desperate. How can I fix this now?

Kenneth Hughes, MD · Answer

Hello, thank you for your question. I have utilized several techniques to improve this appearance, but it requires great precision to improve this. You need to find a board certified plastic surgeon who does a lot of revisions.

Daniel Barrett, MD · Answer

Dear Caring2689,
I would have to examine you but it appears that this is a contour irregularity after liposuction.  This happens often when areas the undergo liposuction are not feathered appropriately.
The good news is that it can be fixed and I have done so with good results before. While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result. You might see some improvements with fat transfer.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Rodrigo Rosique, MD, PhD · Answer

Dear, we have two layers of fat and the superficial one makes the skin smooth and should not be overliposuctioned. The way to fix your problem to restore this layer with fat grafting. Sometimes it requires more than one procedure. Check out in the link below a similar case:

Erika Sato, MD, FACS · Answer

The irregularities seen in your photos is typical of over aggressive liposuction which is more common with the BBL as the goal is a really "snatched" waist along with need for fat volume to transfer to the buttocks/hips. This tends to be more common in really thin patients. The dents are where there is damage to the dermis. More liposuction to this type of results tends to make it worse. You need a combination of fat transfer with liposuction not for more fat removal but to break up scar tissue. Over liposuction is a difficult problem to correct. It is always safer to under treat than to over treat, as you can always get more in a 2nd surgery. This is why the goal should never be to "remove every last fat cell", which is a common request by patients.

Andrew Gear, MD · Answer

Revision liposuction can be very  challenging.  When thin women undergo liposuction (most commonly in the name of fat grafting of the buttocks) it can lead to a lot of mayhem.  I see a lot of women who underwent this very procedure in other locations of the globe where overaggressive suction in the name of obtaining graft  material can lead to very poor aesthetic outcomes particularly of the abdomen. That’s one reason why you never see frontal or anterior images on certain websites. Your correction does look a little bit better. What I typically do in these situations is to perform a blending technique without suction that some people describe as “SAFE” liposuction  plus or minus additional fat grafting of stubborn dents. Even then, it’s still difficult to correct completely

Arian Mowlavi, MD, FACS (license on probation) · Answer

Based on your photos, you are an excellent candidate for a liposuction revision to fix your contour irregularities. When it comes to additional liposuction sessions, you want to make absolutely sure that your surgeon is experienced with revision surgeries, as scar tissue forms from your first rounds that will be more difficult to handle.The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

This is of course only in regards to your liposuction. That procedure was done poorly and was done in a very aggressive manner.  Perhaps your provider used VASER?  People who have been over treated post the most difficult situations to correct. The true treatment options are revision liposuction and fat transfer.  Neither one of them given satisfactory results. Since the primary problem is too much fat was removed removing more fat really isn't the correct solution.  You've had want to go around with revision. It's highly unlikely for the revisions will lead to any significant improvement.  To me you're a Abdomen looks worse after your second procedure.  Was that done by the same provider?  If so that was somewhat unfortunate. People who can't do good liposuction the first time around arent going to do a better job with the revision surgery. This is especially true since revision surgery is far more difficult to do the primary liposuction.  I'm sorry to not have any optimistic answers for you.  Anyone who claims to be able to fix this should be viewed with caution.  Likewise, anyone who claims to be able to "break up the scar tissue" using VASER  is talking nonsense.  Best, Mats Hagstrom MD

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