Uneven Lipo Results. What can I do to repair the texture and lift/tighten my skin? (Photo)

Thank you for your pictures and questions. It would be helpful to look at photos prior to surgery. If you had a significant amount of liposuction to do and a lot of excess skin, your result may be completely reasonable....maybe not idea, but depending on the starting point, very good improvement. You do have some contour deformity and in general that requires liposuction revision to add/remove from those areas to create improved smoothness. We use a technique called SAFE liposuction to get the best results for this. As for skin laxity, there are a lot of treatment options out there but none of them are great. Discuss the options with a plastic surgeon who is board certified by the American Board of Plastic Surgery.
Good luck!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Dear Nice175738,
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. 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
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Great posted photos. What type lipo? Vaser lipo? Was the surgery from clinic or under local anesthesia? So you see have many questions. Best to virus’s or in person consult with… As for possible treatment options: non invasive sessions of injections if a combination of hyper diluted Radeisse/Sculptra into ares of dents. Or reportage with SAFE lipo techniques to release fibrosis. Or both . Fees range from $5,000 to $12,000+

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

Delivering consistent quality liposuction results is more difficult than most people believe and this includes plastic surgeons. Correcting for outcomes is many times more difficult than doing primary liposuction.
This is especially true if the patient has been overtreated or the problem is too much fat has been removed.
Treatment options typically come down to revision liposuction, fat transfer or occasionally cutting out the area by converting the procedure to a skin tightening procedure like a full tummy tuck.
None of the options are great and the best way to treat these problems need to be discussed in detail during in person consultations. each specific area of contour irregularity is treated individually by either Liposuction or grafting fat.
The problem with fat grafting is that areas that need volume are now depleted of host tissue to support the graft and this means that grafted fat often doesn’t survive.
Since the problem is often too much fat was removed doing more Liposuction is in someways an insult to injury or simply making the problem worse. sometimes revision Liposuction despite not being ideal the only option patients have.
I continue to emphasize the importance of carefully choosing only the most experienced and talented providers for any body contouring work requiring liposuction and fat transfer.
Provider selection becomes even more important when it comes to revision work.
To choose an ideal provider I suggest patients start off by having multiple in person consultations with local board-certified plastic surgeons who seem to do a lot of liposuction and have a reputation for the procedure. In this case it should also include fat transfer.
During the consultation ask each provider to show their entire collection of before and after pictures for the procedure or area you’re interested in. Simply seeing preselected sample pictures which most likely represent the best result of the providers career is insufficient to get a clear understanding of what the average results look like in the hands of each provider. this is why patients need to push providers to open up their portfolio and start showing a lot of pictures. ask the provider to show as many pictures as possible of patients with similar body characteristics to your own. Likewise as the provider to show samples of excellent outcome, average outcomes and less than outcomes.
We all have a variety of outcomes and experienced surgeons will have hundreds or even thousands of before and after pictures. A provider should be able to show you a minimum of 50 sets of before and after pictures to feel confident that the provider is experienced.
I also recommend reading all reviews on various physician review websites avoiding any providers with any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling than having an abundance of positive reviews.
Continue having consultations until you feel you found the most talented and experienced provider. This is true for both primary and secondary procedures.
Obviously your provider is responsible for the outcome of the procedure likewise you are responsible for choosing that provider. ultimately your provider is responsible for correcting the defect but you should also consider the limitations considering that revision work is more difficult than primary Liposuction.
Best,
Mats Hagstrom MD