Revision to lower body lift? What kind of revision procedures might help create a smoother silhouette? (Photos)

Question

After my lower body lift my saddlebags are far more noticeable and I was left with a significant hip dip on my left side and a moderate hip dip on my right side. I'm hoping to correct the hip dips that weren't there before and get a smoother silhouette. Lost 120 lbs naturally, completed lower body lift, about 6 months out of surgery. Previously had an hourglass shape and really want to get that back. Also had an arm and side of chest lift during LBL surgery.

Kenneth Hughes, MD · Answer

Hello, thank you for your question.. Based on your photos it seems like you can benefit from a liposuction and fat transfer. I recommend you to schedule a consultation with a board certified plastic surgeon.

J. Timothy Katzen, MD, FACS · Answer

Hello, thank you for question regarding what to do with your body after a 360 circumferential lower body lift. Congratulations on your significant weight loss history of 120 pounds! Considering your weight loss history and surgery, I think you have excellent results. You have two areas of concern: 1) fat above the superior iliac crest and 2) fat at the saddlebag. If you want more of a silhouette, I would suggest VASER liposuction of the superior iliac crest. If you wish a reduction of your saddlebags, liposuction of your saddlebags can also be performed. However, your plastic surgery needs to be careful not to suction too much fat as this may result in loose outer thigh skin. If this happens, you would need a repeat hip lift/reduction. All in all, I would proceed with VASER liposuction, but the majority of fat needs to be removed from your superior iliac crests and not necessarily the saddlebags. If too much is removed from your saddlebags, your body shape will become more masculine. I hope that I have answered your questions regarding what to do after your lower body lift to achieve more of a silhouette. I specialize in reconstructive plastic surgery after weight loss. If you have any more questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Daniel Barrett, MD · Answer

Dear Gwennie40
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

It is impossible to predict every little detail when performing such an extensive procedure as lower body lift. Scarring, retraction of tissue will create certain asymmetry that may need to be corrected in next procedure. We usually recommend waiting at least 12 months until result matures and stabilizes so residual deformity is well defined. It appears that combination of liposuction and fat transfer should be considered including areas of middle and lateral thighs. Good luck.

Scott W. Vann, MD, FACS · Answer

I think with some liposuction of your saddlebags and maybe a bit of suction of inner thighs and knees, this would slim your legs a bit. This fat can be transferred to your hip dips to smooth the silhouette. Overall congrats on the weight loss and nice LBL. Good luck.

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