Uneven contours after liposuction. What can be done to correct this issue? (photos)

Question

I had BBL with fat transfer from the stomach 9 month ago and my stomach area now looks uneven and bumpy. What can be done to correct this issue? I included how my stomach looked before liposuction for reference.

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.

Daniel Barrett, MD · Answer

Dear whatsmyname,
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. The revision can often be done under local as well.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.
Daniel Barrett, MD

Jason Emer, MD · Answer

Pending a formal evaluation, you may be a good candidate for a Revision Liposuction. You need a formal evaluation by an expert in body shaping and contouring to determine what is best.The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face. Cellulite should also be treated with a combination of Cellfina, subcision, and/or fillers such as Bellafill, Renuva synthetic fat, or Sculptra. If skin is very loose before surgery, then it will need to be removed: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin. Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

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

Hi, thank you for your question. After looking at your pictures you may be the perfect candidate for high definition VASER liposuction and renuvion skin tightening. High definition VASER liposuction is used to target annoying areas of fat and renuvion skin tightening helps create a pleasing aesthetic. 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

correcting the results of poorly done liposuction is very difficult and after not possible.  Some improvements can usually be had. For people who have been over treated or treated in an aggressive manner correcting the outcome becomes more difficult.  This afternoon is the case when people have been treated aggressively with VASER. I saw on your profile you wrote a five star review for your provider.  It seems overall you were very pleased with your outcome.  To me your outcome shows a provider who doesn’t know how to do high-quality liposuction.  It’s difficult enough taking a smooth surface and leaving it smooth at the end of the procedure.  Taking an uneven service and making it even is many times more difficult.  On top of that, if the primary problem is someone being over treated then removing more fat doesn’t make it better it’s simply creates more of a problem.   your situation is complex and you need an accurate assessment which cannot be done through virtual consultations.  Do you need in person consultations.  Anyone who touches your abdomen needs to be a true expert in liposuction and needs to have performed thousands of successful liposuction cases.  My practice is devoted exclusively to liposuction and fat transfer.  After having done over 7000 liposuction procedures I can tell you from personal experience that is very difficult to correct bad outcomes.  Best, Mats Hagstrom MD

David E. Berman, MD (retired) · Answer

you had a small abdomen before you even had liposuction. they were clearly overly aggressive. I would have suggested smaller cannulas and being less aggressive. it is always easier to prevent problems than to correct them. you would need to be seen in person, but oftentimes, redoing this with Smartlipo and possibly some fat grafting in small amounts, could be helpful.see a board certified plastic surgeon and not some imitation.david berman md

Uneven contours after liposuction. What can be done to correct this issue? (photos)

Answers (6)

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