I feel I shouldn't be left with such mediocre results/liposuction asymmetry? (Photos)

Question

I'm 7 months post op from lipo to flanks and abdomen and I'm left with my right flank undefined, making me look asymmetrical. I also have tires when I sit down. I've asked my doctor to correct the asymmetry but he is charging it as a revision? Is this normal as I feel I shouldn't be left with such mediocre results. I'm a 5'2 woman 125 pounds.

Jason Emer, MD · Answer

a couple of issues here.
1) revisions are always charged despite results in my opinion because results are variable to each person
2) you needed a tummy tuck or AT LEAST very strong internal heating like body tite and renuvion if that wasnt done then that needs to be done/offered
3) you have hip assymmetry, this will NOT improve with liposuction and what I see from your photos is not fat, its skin that needs tightening and contouring that needs fat grafting.

you need a formal consult with a body sculpting expert.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to 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 cellfina, sculptra, 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 such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  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.  Dr. Emer.

Daniel Barrett, MD · Answer

Dear Practical7865,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from liposuction revision. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

The asymmetry is your baseline asymmetry that was there before you had liposuction. If you want us to make an assessment on the outcome of a procedure then you need to show proper before and after pictures. If you don’t have those ask the surgeon to forward the ones they took. Everyone has a skinfold in a sitting position. That represents skin laxity and not subcutaneous fat.

Liposuction should not be done in an uneven fashion to compensate for someone’s natural skeletal asymmetry. Doing so creates to asymmetries. The baseline asymmetry primarily based on skeletal structure and a new created secondary Liposuction based on the surgeons Liposuction to compensate for it. From your pictures it looks like you’re fat layers are even and you should probably consider leaving that alone.  Give your surgeon a break.

Best,

Mats Hagstrom MD

I feel I shouldn't be left with such mediocre results/liposuction asymmetry? (Photos)

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I feel I shouldn't be left with such mediocre results/liposuction asymmetry? (Photos)

Answers (3)

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Everything you need to know about Liposuction Revision

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