Top 5 Reasons for Revision Liposuction

1. Disproportion
The surgeon has not paid attention to proper body proportion in his evaluation and has caused the patient to store fat in disproportionate and unbalanced ways. Typically, this is when the surgeon does liposuction surgery on an overweight individual who is perfectly proportionate. This can usually be greatly improved by targeting the imbalance with revision liposuction surgery to create a proportioned and balanced shape.

2. Asymmetry
Excess fullness in one area is usually very easy to improve or fix by targeting the asymmetric side with properly done revision liposuction surgery.

3. Not enough fat taken (too conservative)
This is also quite easy to remedy with subsequent revision. Although, I feel it is very important to achieve the best result the first time when I am doing the surgery. It is better to be more conservative than more aggressive, as it is easier to remedy.

4. Too much taken (too aggressive)
If the surgeon has been overly aggressive, especially in certain parts of the body where skin elasticity is poor, it can be difficult even in an expert’s hands to make things perfect. Usually, I can make significant improvements with a combination of fat grafting and skin tightening procedures and sometimes micro liposuction surgery at the edges of where too much fat was taken to blend the area.

5. Indentations, rippling, and ridging of the skin
This is usually caused by poking, jabbing or rasping the underneath part of the skin during liposuction surgery or by being too aggressive in areas with decreased elasticity. It can also be caused by liposuctioning in the wrong direction (ex: horizontally in the upper outer thigh). Depending on the patient, I do revision liposuction surgery to the whole area again with a very small spatula canula, perform a fat transfer and or do skin tightening procedures-such as thermage.