Will a second round of lipo give me better results & achieve a more toned body?

Question

hi, I had lipo done in 2022 but I’m not happy with the results, my stomach isn’t evenly done and I still have back rolls. Is it possible for me to get a second round of lipo to achieve a more toned body ?

Daniel Barrett, MD · Answer

Dear Anon485760,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Arif Eroglu, MD · Answer

Hello,The issue is more related to your skin being loose rather than liposuction itself. If a skin-tightening treatment is not added, the appearance may not be satisfactory, as liposuction alone can cause the skin to loosen further. I recommend combining fat removal with Vaser Lipo and adding a skin-tightening treatment with Renuvion J Plasma. This way, both a uniform fat removal can be achieved, and additional skin laxity can be prevented.

David Hansen, MD · Answer

Lipo done under local with a little iv sedation for complete comfort can really make a big improvement in one's shape but it needs to be done by a specialist who will stand you up during the procedure to fine tune the results. Usually the tummy and sides are done together and the back or back and arms are done together .  Likewise the thighs and buttocks are usually done together as well.  They can be all done just a day apart so you can recover all in the same week easily.

George Marosan, MD · Answer

Thank your your question and photos. If you plan to have a second round of liposuction and expect better results, then I suggest you do not go back to your original surgeon (even if offered for free!). Based on these photos (which are not ideal, a lot of the areas are covered by your clothes and arms), I see excess fat in the upper abdomen, the bra pushes down and creates a fat roll, the mid abdomen is irregular and the pubic area cannot be assessed.  You have bilateral hip dips. The back photo, shows back rolls, poorly defined waist and upper hips and a square buttock. To get an hourglass figure, you need to see a board certified plastic surgeon with extensive experience in body sculpting techniques  based on your bony and muscle anatomy and not just a second round of fat reduction surgery. BTW, this is not a revision, but a new operation to give you the desired toned body. Good luck.

Camille Cash, MD · Answer

I encourage you to begin by visiting a board certified plastic surgeon for a consultation.  If you are wanting your back rolls "gone" you may consider a bra line lift.  It will remove the excess back skin as well as the fat.  For the abdomen a exam is needed for the best recommendation but options could include further liposuction with or without J Plasma or a tummy tuck.

Connie Hiers, MD, FACS · Answer

Yes, you can have more liposuction with radiofrequency for skin tightening to help. But to actually tone, you need weight training.

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate assessment regarding the outcome of any plastic surgery procedure, we need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures, then contact your surgeon and ask them to forward the pictures they took.
Your surgeon is also the correct person to talk to about your outcome.
 in regards to your outcome there are a few things that are worth pointing out.
The folds on your back are skin folds and are not based on excess subcutaneous fat.
Liposuction does not correct skin laxity.
In fact, skin laxity is the number one reason patient failed to get quality Liposuction results.
The best candidates for Liposuction Are young, tight skin without pregnancy related changes and thick layers of subcutaneous fat.To make an assessment regarding your abdomen, we absolutely need to know if you’ve had previous pregnancies.
My best guess is that you do and Liposuction does not address pregnancy related changes which are muscle separation and skin laxity.
Neither one of these two variables are treated with Liposuction.
Secondary Liposuction generally delivers a very small improvement compared to the primary procedure.
In other words, if you weren’t happy with having Liposuction, then doing more of the same is going to give you even less of a result.
If you’ve had Liposuction then most of your fat has most likely been removed.
The ability to deliver consistent quality liposuction results is also more difficult than most people realize.
The number of plastic surgeons who approach mastery of Liposuction is in reality quite small.
Lip section skill is not only the technical ability to do the procedure but also includes the ability to make accurate assessments and deliver predictable outcomes.
Because provider selection is critical to getting quality assessment and delivering the best possible outcome I recommend patients be highly selective when it comes to choosing surgeons.
I recommend patients do this by having multiple in person consultations.
The biggest mistake I make is having only one consultation and then scheduling surgery.
 Having only one consultation, more or less eliminates the ability to choose a better provider.
To find the provider recommend patient start having quality set of body pictures taken the same way plastic surgeons take before and after pictures.
Bring those pictures with you for any consultation and this is true whether you’re having a primary or secondary procedure.
 During each consultation, ask each provider to open up their portfolio and show you their entire collection of the before and after pictures of previous patients who had similar body characteristics to your own.
And experience provider should have access to before, and after pictures to choose from
An experienced plastic surgeon should have more before and after pictures then you have time to look at during the consultation.
This is the best way to understand what your results are going to look like and also vet providers in regards to their skill and experience.
Because not everybody seeking Liposuction is a good candidate for the procedure. It is critical that you compare results of previous patients who had the same body characteristics.
In regards to the abdomen there are four tissue variables that determine what it looks like.
Each one of these variables is treated differently so understanding which variables are causing the problem helps us determine the right procedure.
The tissue variables that determine what the abdomen looks like include abdominal skin laxity, typically due to weight loss or previous pregnancies, excess subcutaneous fat,
 Muscle separation from previous pregnancies and access visceral or intra-abdominal fat.
I don’t think further Liposuction is going to give an improvement and anytime you have Liposuction. There is risk of being left with irregularities and disfigurement.
I think it’s unlikely a secondary procedure is going to give you better outcome.
Consider reposting with proper before and after pictures.
Also include your age, and if you have a history of pregnancy.
Best,
Mats Hagstrom MD

Will a second round of lipo give me better results & achieve a more toned body?

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