Revision of Body Contouring Complications

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

Universally, the fat under the skin is divided into two depths, the superficial and deep planes.

The superficial fat is located just beneath the skin and held in a fibrous network made up of structural supportive pillars called retaining ligament; this layer is not amenable to reduction using traditional liposuction techniques because the retaining ligaments do not allow for the entry and free movement of the fat removing cannulas. In contrast, the deep fat is located just above the muscles and under the superficial fat above and is held in a loose "areolar" plane that is void of any structural fibrous network; this layer only is amenable to fat removal using traditional liposuction techniques as it allows for the entry and free movement of the fat removing cannulas.

There are several known reasons for observed complications involving contour irregularity. The first is caused by the novice liposuction practitioner who is not able to completely eliminate the deep fat layer. This usually results in a wavy or asymmetric appearance in body contour caused by removing more of the deep fat from one side than the other. The second is caused by the cavalier surgeon, who tries to push the threshold of traditional liposuction by attempting to remove superficial fat. Unfortunately, the solid cannulas cannot uniformly penetrate this layer due to the retaining ligament pillars as discussed above, resulting in divots. This botched result often occurs over the abdomen and has been termed the "checkerboard" abdomen that is riddled with extensive divots.

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A 35-year-old male after high definition liposuction of the abdomen, chest, arms, armpits, and flanks.

In contrast, VASER liposuction allows for use of an ultrasound probe that emulsifies the fat into a liquid form; once in a liquid form, the fat can be drained comprehensively from both the superficial as well as the deep layers. Since both layers can be comprehensively removed, VASER technology is the only modality that allows for revision of all contour irregularities regardless of whether the deformities involved inappropriate or uneven removal of deep and/or superficial fat.

In addition, the ultrasound power of the VASER probe is the ONLY technology that allows for the removal of any and all scar tissue that has formed from prior liposuction procedures. The creation of scar tissue has become most evident in a contour deformity, called paradoxical adipose hyperplasia (PAH), that has been observed in cryotherapy (CoolScultping) patients. Patients that undergo Cool Sculpting end up freezing the superficial layer of fat which 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. The only viable solution for these patients is to use VASER high definition liposuction to remove not only any residual superficial fat but also subsequent scar tissue and all of the deep fat so that it cannot regrow and bulge out again.

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A 33-year-old female status following VASER high definition liposuction and Renuvion® skin tightening of the chin and neck to correct a PAH deformity.

Moreover, any residual skin redundancy or irregularity observed after removal of the fat from the above bulges can be corrected using the Renuvion® skin tightening tool. If you have undergone a botched liposuction procedure, we encourage you to make a consultation with one of our specialists to see how VASER high definition liposuction can help you definitively correct your deformities and regain your outer beauty.

Moreover, any residual skin redundancy or irregularity observed after removal of the fat from the above bulges can be corrected using the Renuvion skin tightening tool. If you have undergone a botched liposuction procedure, we encourage you to make a consultation with one of our specialists today to see how VASER high definition liposuction can help you definitively correct your deformities and regain your outer beauty.

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A 53-year-old male after VASER high definition liposuction of the lower back, abdomen, and flanks to correct PAH deformity.

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A 50-year-old female following VASER high def lipo of the abdomen, medial thighs, lateral thighs, lower back, upper back, arms, fat grafting to the buttocks, and Renuvion® skin tightening to correct prior contour deformities.

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A 30-year-old male following VASER high definition liposuction of the flanks, gynecomastia repair, and mini tummy tuck to correct previously failed abdominal contouring.

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A 21-year-old female following VASER high definition liposuction to treat contour irregularities of the abdomen and flanks.

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A 49-year-old female following VASER high definition used to correct contour irregularities created from prior contouring producers.

Overcoming Bad Liposuction Results with VASER Lipo featuring Dr. Arian Mowlavi

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