Should I go for BodyTite for my revision lipo to address dents, cellulite and laxity? (Photo)

Question

Back in 2009 I had traditional liposuction to my thighs, inner and outer, also the inside of my knees. I have been left with a big dent on my left buttock and my right outer thigh. I have also got pretty bad cellulite that this picture doesn't pick up. My skin is pretty lax, and I think I could use some more inner thigh and some flank work. Also my 'butt crack' appears quite long, could lipo at the top of it 'shorten' its appearance? Thank you.

Jason Emer, MD · Answer

You appear to be a candidate for revision liposuction. I find that VASER liposuction in combination with ThermiRF are best for contouring the chin in those who are candidates but Kybella can be used as an alternative and gets better results when combined with thermage/ultherapy/exilis or coolsculpting. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Mahmood Siddique, DO · Answer

Hello, and thank you for your question. The BodyTite procedure is worth considering forrevision lipo to address dents, cellulite and laxity. Cellulite patients tend to have a morevertically oriented fibroseptal network anatomy and, over many years there is a contraction ofmany of the vertically oriented fibroseptal bands and swelling of the superficial fat which leads tothe pits and nodules characteristic of more advanced cellulite. Excellent long term results canbe achieved with a single BodyTite treatment with up to 50–70% reduction which can last formany years. BodyTite is a Radiofrequency- Assisted Liposuction technology that offerssuperior performance compared with other methods of liposuction due to increased skintightening and mild operation resulting in higher safety, patient tolerance, and rapidrecovery.

Kenneth Hughes, MD · Answer

Liposuction with fat grafting to the dimple areas on thighs and buttocks can help the appearance in this case.  There are several ways to address 
cellulite depending upon depth of cellulite, location, elasticity of 
overall skin envelope, and subcutaneous fat layer.  There is no 
uniformly successful method for treating it.  My practice is now using 
BodyFX, a non-invasive procedure, that requires no down time to reduce 
the appearance of cellulite. 
The procedure combines different 
clinically proven modalities (radio frequency energy, deep tissue 
heating and suction coupled negative pressure) to distribute heat to the
 skin and underlying fat, causing the tissues to contract. Weekly 
sessions over an eight week period are recommended, but improvement is 
likely seen after the first few sessions.

Gilbert Lee, MD · Answer

Thank you for your questions and photos. The Body Tite system is a technology that uses radiofrequency to shrink wrap the tissues. In general we see a 30-40% improvement in skin tightening. Uneven areas and dents left from liposuction are caused from scar tissue and pockets of fat or areas of over resection. These are best treated with a technique that smooths out the fat and disrupts the scar tissue bands. Fat grafting is an excellent option to treat the areas that are dented. These 3 techniques used together can achieve a smooth, favorable appearance.Cellulite is actually caused by tiny bands of connective tissue that pull down on the skin. A successful cellulite treatment works by disrupting the tiny connective tissue bands and smoothing out the superficial fat between the bands.  In our office, we offer 3D imaging to give our patients an accurate idea of what their final result will look like. Good luck!

Leonard Grossman, MD · Answer

I would definitely not have bodytite procedure in your condition. What you need to do is to find yourself a plastic surgeon who is experienced in liposuction and fat grafting. with properly done liposuction using micro cannulas fat can be harvested and placed into the areas where the indents have been formed from your prior surgery. this should result in natural, scarless in permanent correction. I hope this helps and good luck from New York City plastic surgery

Should I go for BodyTite for my revision lipo to address dents, cellulite and laxity? (Photo)

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