What should I look for when considering my options in finding the best doc for my lipo revision?

Question

Botched etching. 26 y/o 5’2 110lb. Lipo/bbl 1.5 years post op. My abdominal lipo was done with etching technique. It’s lopsided and one side is more sculpted than the other. My goal would be to have a smoother appearance and minimize the look for the harsh lines. I understand this a complex situation however what would give a better outcome? Fat grafting to the shallow areas or removal of fat in the fatty areas? Or both?

John Michael Thomassen, MD · Answer

A combination of fat grafting and liposuction would be recommended to even out this result.  I would shy away from energy based devices like laser liposuction or even radiofrequency and stick to power assisted devices to avoid further dermal scarring.

Andre P. Marshall, MD · Answer

Hi Outlaw18, Unfortunately your surgery did not go as you planned. Revision liposuction is always more complex due to contour irregularities and scar tissue. Fat grafting is likely not needed and is rather unpredictable in these situations. In your case completion lipo to help smooth out the shadows and valleys which were previously created would likely be recommended. We recommend you consult with a board certified plastic surgeon for further evaluation.

George Marosan, MD · Answer

Thank you for your question and photos. Even without posting preop photos, it is obvious that your surgeon has no idea or technical ability to carry out body sculpting based on your muscle and bony anatomy. To carve fat based on the surgeon’s poor “visualization” of the abdominal area, is the result of what you end up with. These are advanced techniques promised by many, but achieved by the few who are well trained in these techniques. Also, to “etch” the abdomen and not consider doing the flanks, hips and back, will give unnatural body shape and results. BTW, you also demonstrate significant loose skin when you bend over, thus you might’ve not been the best candidate for body sculpting just with liposuction only. I use the VASER Hi Def Lipo techniques to give the best outcome based on your underlying anatomy. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. You should also look at the surgeon’s photos, don’t just believe what they promise you verbally. Good luck.

Daniel Barrett, MD · Answer

Dear Outlaw18,
finding the right Dr. is extremely challenging especially with the number of online platforms and resources available. There a lot of great Dr's available. Make sure he/she is a board-certified plastic surgeon. Definitely check to make sure your choice specializes in the procedure you want and spend the time to read through patient testimonials. There is a number of different sites where you can check for reviews (Realself, yelp, google, etc.).You can always pick up the phone and call around also, find an office you feel comfortable with and set up a few consultations. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Omer Sagir, MD · Answer

Hello Dear,
Thank you for the photos and detailed information.
The extra fat on the belly can be extracted and then a smooth two pack surgery can be performed to give you the desired appearance that you wish to have. An even look on the both sides will enormously update the overall look on your abdominal region. So seems like you would need fat removal and body sculpting via two pack surgery to give the area a more beautiful definition.

What should I look for when considering my options in finding the best doc for my lipo revision?

Answers (7)

Answer: Choosing surgeon

Answer: Choosing surgeon

Answer: Abdominal Etching Revision

Answer: Abdominal Etching Revision

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Everything you need to know about Liposuction Revision

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What should I look for when considering my options in finding the best doc for my lipo revision?

Answers (7)

Answer: Choosing surgeon

Answer: Choosing surgeon

Answer: Abdominal Etching Revision

Answer: Abdominal Etching Revision

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Recommended reading

Everything you need to know about Liposuction Revision

Our mission is to create a world where every investment in modern beauty is Worth It.