Can Vaser liposuction help carve out a better shape on my abs? What about a belly button revision? (photos)

Question

Hi, I had a TT, lipo and muscle repair 5 years ago. It was a success, but I have been interested in high definition vaser lipo on the abs to carve out a better shape. Would this be possible or would scar tissue on the lower abs be an issue for healing? I also wold like a belly button revision as mine is rather strange looking - can this be done?

Jason Emer, MD · Answer

You need a formal evaluation by an expert in body shaping and contouring to determine what is best. The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring.

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. See an expert. Best, Dr. Emer.

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. See an expert. Best, Dr. Emer.

Reza Alamouti, MD, FRCS · Answer

Hello,Thank you for the question, For sure it’s possible to perform Vaser after l tummy tuck but the result depends on the quality of the skin and amount of fat.Regarding your belly button, you need to be examined by a plastic surgeon. There is a chance you might have a small hernia.Best wishes

Navjot Singh, MD, FACG · Answer

You may have a small umbilical hernia. It would be important for you to obtain a ultrasound to evaluate for a umbilical hernia. If this is present you may want to have this repaired prior to Vaser Liposuction.

Arian Mowlavi, MD, FACS (license on probation) · Answer

You can have your belly button redone and get your abs to show at the same time. 
The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is 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

Mats Hagstrom, MD (license on probation) · Answer

The best type of liposuction to get is the one performed by the most skilled an experienced provider.

The name of the equipment is not important.

People who spend $100,000 buying a new piece of equipment want to promote that device and only those who are on expensive machines claim that the device has any significant impact.

I’ll plastic surgeons have the tools they need to do their jobs correctly. What makes the difference between good outcomes and not it’s not the equipment but simply skill and experience.

The time to get the belly button right is during the tummy tuck. Trying to do this without taking your abdominal wall apart he’s going to be of limited success but I’m sure there’s plenty of people who are willing to try.

Your pictures do not allow us to make an assessment if liposuction is a good idea or not. The best shot and getting the best looking belly button it will require taking apart the abdominal  wall and basically redoing a large part of the tummy tuck. Doing it from the skin surface only makes revision a more limited procedure but may be possible as well.

I suggest you follow up with your provider or schedule a few in person consultations for formal second opinions regarding Revision work or liposuction.

Best,

Mats Hagstrom MD

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
As you did not provide photos of your abdomen, I cannot comment on your candidacy for liposuction. However, there is umbilical fullness which may represent a small underlying hernia or ball of fat. This can be corrected surgically. 15% of cosmetic surgeries may benefit from a touch up.
Revisit your plastic surgeon for evaluation, examination, and discussion.
Best wishes...

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