Revision of body contouring

01

Introduction: Revision Body Contouring Complications not possible with Traditional Liposuction

Traditional liposuction has been plagued by limitations in the degree of fat removal.

Fat under the skin does not preside in a single layer! Universally, the fat under the skin is separated into two depths, the superficial and deep layers.

The superficial fat is located just beneath the skin. It lives in a tight space created by a network of highly dense supportive pillars called retaining ligaments. This layer cannot be accessed using traditional liposuction techniques. This is because these pillars restrict the entry and movement of fat removing cannulas. In contrast, the deep fat layer is under this superficial fat layer and above the muscle lining. Unlike the superficial layer, this deep layer is a loose “areolar” plane that is void of high-density, structurally fibrous pillars. As such, the deep fat layer is amenable to fat removal using traditional liposuction techniques as it allows for the entry and free movement of the fat-removing cannulas. When attempts are made to remove the superficial fat layer with traditional techniques, then deformities are created. As such, the procedure to correct body contouring deformities is dictated by the need to even out the uneven superficial fat layer. This limitation of traditional liposuction naturally prohibits conventional liposuction from performing revision of body contouring complications.

03

Reasons for Contouring Complications following Lipo and Body Sculpting Surgery Procedure to Correct them

There are two known reasons for observed body contouring complications following liposuction. The first reason for revision body contouring complications involves surgery performed by a novice liposuction practitioner. For the novice liposuction practitioner, it may be difficult to remove the deep fat uniformly and symmetrically. When the deep fat is removed incompletely, it can result in a wavy or asymmetric appearance in body contour. If the fat is removed asymmetrically from each side, then the two sides of the body may appear uneven. The second reason for body contouring complications occurs by a cavalier surgeon. This provider may try to push the envelope of traditional liposuction. by attempting to remove superficial fat. Since the solid cannula cannot uniformly penetrate the superficial layer as discussed above, it will result in visible divots. This botched result often occurs over the abdomen and is described by a “checkerboard” abdomen that is full of sporadic and extensive divots. Surgical procedures to correct complications incurred in body sculpting are intricate. Revision surgery through plastic surgery requires expertise and experience in revision procedures. Revision plastic surgery also requires patient compliance both in the immediate postoperative period but also a dedication to a healthy lifestyle that is void of weight gain or weight loss.

05

Correcting Complex Body Contouring Complications

The ultrasound VASER probe is the only technology that can remove scar tissue. Scar tissue has become most evident in a new contour deformity. Know as paradoxical adipose hyperplasia (PAH). it presents in cryotherapy (CoolScultping) patients. Patients that undergo Cool Sculpting end up freezing the superficial layer of fat. This can improve your contour. Unfortunately, if weight gain occurs after the procedure. Patients may notice the growth of fat bulges in the areas of cryo treatment, coined PAH. There is only one viable solution for these patients. We have to use VASER high definition liposuction. Now we remove not only any residual superficial fat. But also the scar tissue and all the deep fat so that it cannot regrow and bulge out again.

botched liposuction

contact us. Our specialists can use high-definition liposuction to correct these deformities. We will help you regain your outer beauty.

The pathophysiology of paradoxical adipose hyperplasia (PAH) has been delineated in our publication presented in the American Journal of Cosmetic Surgery. In this study, we delineate how topical cooling of the superficial fat results in non-intuitive overgrowth of the deep fat. Additionally, this publication also offers viable treatment options for revision body contouring complications arising from PAH.