Uneven skin due to lipo. What procedure would help with this? (Photo)

Question

Hello, I had 2 rounds of liposuction done on my abdomen which unfortunately has left me with dimpled skin. My 2nd round was Vaser so I'm grateful to have no loose skin but is there any procedures recommended to help with this? Perhaps Morpheus8?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Vishnu Rumalla, MD · Answer

Thanks for your inquiry, we have had some nice improvement using Morpheus 8 for skin and subcutaneous fat texture; find an experienced provider and best of luck.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. Sorry this happened. As is often the case with things like this, prevention is always better than treatment. Having surgery with an experienced and board-certified plastic surgeon who is trained to avoid these types of outcomes is so much better than trying to fix them after the fact. Repairing this type of damage is difficult, usually requires multi-modality treatment, and sometimes requires multiple treatment sessions.
The ultimate answer is a revision liposuction procedure with fat grafting into the divots but this can also be unpredictable (as you have experienced with fat grafting in the past). We have also had good result with less invasive treatments such as Renuva injection and minimally-invasive skin treatments such as Morpheus8 or SkinTyte.
Best of luck!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Laura A. Katz, MD · Answer

First, thank you for including a picture,  it is very helpful.  Second, there should not be dimpling of the skin with a uniformly performed liposuction.  It can happen, but it should be a rare occurrence.  Having said that, Morpheus can be a potentially fantastic fix for filling in dimpling with even one body treatment at a minimal depth of 4mm.

PUR-FORM - Boca Raton · Answer

Morpheus8 after liposuction is an excellent way to smooth out any residual unevenness or "lumpy bumpy" appearance on the body. This is commonly occurs on the abdomen after but with 3-4 treatments of Morpheus8, the smoothness is restored and you can really get the optimal results of your liposuction procedure. Morpheus8 Body is great for skin tightening, smoothing out unevenness of skin, melting fat and body contouring. Depending on your goals, we design a series of treatments that gets you the results you deserve. Check out the before and after of Morpheus on our profile and you will see some great results we have gotten for patients who had unevenness after liposuction.

Leonard Grossman, MD · Answer

There is no particular procedure that corrects cobblestoning after liposuction. It is the hands of the doctor performing the procedure which avoids cobblestoning, and may be able to correct such conditions. You need to be evaluated in person by a plastic surgeon to see if this condition is amenable in your case. I hope this helps and good luck from New York City Plastic Surgery.

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