What can I do to correct indentations on my thighs after Vaser liposuction? (photo)

Question

I’m 42 weigh 9stone 12 and had Vader lipo in my outter thighs over a year ago and have been left with severe indentations. I went back to the surgeon who told me it was scarring and to massage it but it’s not worked I’m reluctant to return to the surgeon again. Is there any treatment I can have to improve the appearance of the indentations on my thighs please ? I’ve been left feeling even more insecure now than ever before! Please help

Dennis Wolf, BScHons, MBBCh, MRCSEd · Answer

Fairly tricky one. There are several option - 1. do nothing2. More lipo - may create more tethering. 3. Fat transfer to fill the defects

J. Timothy Katzen, MD, FACS · Answer

Hello Murphyk1,

Thank you for reaching out and providing your history and photos concerning the indentations on your thighs after undergoing VASER liposuction.

Indentations often result from uneven fat removal and can be aesthetically concerning. The most effective method to correct such indentations is through a procedure known as fat transfer. In this process, fat is harvested from an area of the body, such as the abdomen or love handles, and then carefully injected into the areas of indentation. For your situation, this would mean transferring fat to the indented areas on your thighs to achieve a smoother contour.

If you have reservations about returning to your initial plastic surgeon, it's essential to seek the expertise of another board-certified plastic surgeon, particularly one with substantial experience in fat transfer techniques. They can provide a comprehensive evaluation and recommend the best approach tailored to your needs.

Thank you for entrusting your concerns. I hope this provides clarity on the options available to address the indentations post-VASER liposuction. Wishing you the best as you move forward.

Sincerely,
Dr. Katzen

Mats Hagstrom, MD (license on probation) · Answer

Delivering consistent quality, liposuction results is more difficult than most people realize. The number of plastic surgeons who truly mastered this procedure is in the small minority. Being board-certified in plastic surgery with years of experience does not mean somebody has mastered any one single procedure and this is certainly true for Liposuction. Getting consistent quality results, including the ability to make accurate assessments and deliver predictable quality outcomes Requires a total dedication to the art with years of commitment. The number of plastic surgeons who are truly excellent at Liposuction are far and few between. 
Correcting poorly done previous Liposuction is far more difficult than doing Primary Liposuction. Revision Work is typically done using Revision, Liposuction, fat, transfer, or a combination of both. Revision work as many times more difficult than primary Liposuction said the need to find the best providers goes without saying. Your current provider did not have the skills to do primary liposuction, and that pretty much guarantees that any attempt at Revision will most likely make things worse unless you find a more talented provider. The candidacy for improvement depends a lot upon how the primary procedure was performed. The most difficult cases to improve upon. Are those in which the patient was not a good candidate in the first place, or the first procedure. It was done aggressively removing most of the fat.
Treating the indentations with a bad transfer is sometimes successful. A lot depends on how much fat was removed from the first procedure. In order for fat transfer to be successful. There has to be sufficient post tissue to support the grafted fat.
To get quality final outcomes, sometimes requires a few sessions a fast transfer. The process of finding the right provider for revision of work is more or less the same process I recommend for fighting providers for primary procedures. I suggested patient start the process by having multiple in person, consultations with local, board-certified plastic surgeons, who seem to do a lot of anyone particular procedure. During each in person consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your owner. And experience provider should have no difficulty showing you that before and after pictures of at least 50 previous patient. This may not be true for revision work since revision work is not nearly as common as primary procedures.
Friend videos for up for having fat transfer as a corrective a treatment for poorly done Liposuction it’s important event providers for both Liposuction and fat transfer skill.
There’s no correct number of consultations needed to find the right provider. Considering how much variation there is a Liposuction skills, I suggest patience consider having at least five consultations before considering choosing a provider. A revision work you may need to have more consultations than that.
Best,
Mats Hagstrom, MD

What can I do to correct indentations on my thighs after Vaser liposuction? (photo)

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