I received overly aggressive lipo about five years ago. As a result, I have extensive contour irregularities on my stomach. This was my second liposuction, so I am hoping to not have to repeat the procedure again. I recently visited a plastic surgeon who let me know that a tummy tuck would be my solution. There are two main indentations that bother me the most ( I’ve noted the area on my photos). Can a fat grafting procedure helps solve the issue? I would rather not have to go through the extension coming procedure and recovery. Thanks!
August 6, 2025
Answer: Liposuction revision I think I’ve responded to you about the same concern previously. What I wrote then it’s probably still true. That transfer test did not work well to correct areas over treated with Liposuction. The problem is that the overt treated area is lacking host tissue to support the grafted fat so fat graft survival is very low. Sometimes there’s no tissue at all when the person is left with skin on muscle. If there is fat, the grafted into then fat grafting can be a solution. If you go this route, then expect to need at least three or four rounds of fat transfer. The other option is to continue reducing the fat in the surrounding areas to make it look more even. Which is in a sense creating a more extensive problem but one that is more harmonious. The more fat that was reduced with previous procedures makes revision more difficult because there’s less tissue to work with. Regardless of how you approach revision procedures, the most important variable is provider selection, and in the end that is most likely what’s going to be the limiting factor. If provider selection was done correctly, he wouldn’t be in this situation. It’s really hard to find plastic surgeons who can deliver consistent quality results. I recommend you insist providers show you their entire collection of before and after pictures of previous patients who had a similar situation for whatever procedure the doctor recommends. I wish I could be more optimistic, but I know how difficult these situations are to improve. Mats Hagstrom MD
Helpful
August 6, 2025
Answer: Liposuction revision I think I’ve responded to you about the same concern previously. What I wrote then it’s probably still true. That transfer test did not work well to correct areas over treated with Liposuction. The problem is that the overt treated area is lacking host tissue to support the grafted fat so fat graft survival is very low. Sometimes there’s no tissue at all when the person is left with skin on muscle. If there is fat, the grafted into then fat grafting can be a solution. If you go this route, then expect to need at least three or four rounds of fat transfer. The other option is to continue reducing the fat in the surrounding areas to make it look more even. Which is in a sense creating a more extensive problem but one that is more harmonious. The more fat that was reduced with previous procedures makes revision more difficult because there’s less tissue to work with. Regardless of how you approach revision procedures, the most important variable is provider selection, and in the end that is most likely what’s going to be the limiting factor. If provider selection was done correctly, he wouldn’t be in this situation. It’s really hard to find plastic surgeons who can deliver consistent quality results. I recommend you insist providers show you their entire collection of before and after pictures of previous patients who had a similar situation for whatever procedure the doctor recommends. I wish I could be more optimistic, but I know how difficult these situations are to improve. Mats Hagstrom MD
Helpful