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2/08/2020

Failed Liposuction? How to Fix Unevenness, the Sequelae of Liposuction? Case Sharing on Repair Surgery for Failed Liposuction


Failed Liposuction? How to Fix Unevenness, the Sequelae of Liposuction? Case Sharing on Repair Surgery for Failed Liposuction

In out-patient clinics, we often see pretty girls that dare not wear shorts or tank tops due to unevenness after liposuction, bothered by having to give up on clothes that show off their curves just to cover the unevenness on their body.
Even more people feel frustrated after having worked hard for a long time without seeing any improvements, depriving them of theself-confidence they once had. I have taken the time to sort out the contents, hoping people who are troubled do not give up easily. After all,

Why is there unevenness after liposuction? What can be done about the unevenness?

Many people experience unevenness at the liposuction site after a liposuction treatment. How can this unevenness, the sequalae of liposuction, be improved? During the repair process after liposuction, since the internal structure is gradually recovering, there is no need to deliberately massage or apply hot compress to aid in the repair.

If more than six months have passed and the unevenness at the liposuction site still persists, then, we should leave it up to a specialized doctor to assist in conducting an assessment. The focus of the assessment, in addition to the circumstances that arise at the sites, also involves a thorough understanding of which type of unevenness problem it is in order to formulate a liposuction repair surgery planning targeting the unevenness problem and evaluate if there is a necessity to carry out repair using a combined approach.

What types of liposuction unevenness are there? Can the unevenness be improved at once?

In case of uneven thicknesses after liposuction, depressions are easily seen on the skin surface, sometimes in a line; other times all over an area. When unevenness can be felt in the static state, the sense of unevenness will naturally deepen.
The unevenness is generally divided into “concavities” and “convexities.” Although they can be divided into many types, the treatment is summarized into two methods below. Through the illustration, we can better understand the problems of concavities and convexities and how to repair them.
Concavities-The extent of damage should be evaluated to ensure precise repairs. It often takes several sessions to complete the repair.
Convexities-How much should be retained should also be evaluated to ensure precise removal. Finally, a large area of homogenization should also be done.
Type A: More reduction

Problem: The site to be extracted is not complete.
Treatment: Fat reduction should be done again.
Type B: The Right Thickness
A thin layer of fat should be retained during liposuction surgery to make the skin smooth and give it a good appearance.

Type C: Excessive Thinness

Problem: When too much fat is extracted, circumstances of excessive thinness may arise, and the skin color may appear faintly pink with marble spots.
Treatment: Fat transfer performed again. Depending on the initial liposuction surgical approach, if the initial scar reactions are more severe, fat transfer results may be less desirable, and fat extraction may need to be done a few more times to fix the unevenness problem.
Type D: Skin and Muscle Adhesion
Problem: Excessive fat extraction may cause skin and muscle adhesion and the skin color may appear faintly pink with marble spots.
Treatment: Fat transfer should be performed again, but the outcome may be less desirable, because there are no longer fat tissues in between and more sessions should be performed. If needed, in addition to liposuction repair surgery, regenerative therapy may be necessary.

Is “muscle lines that become more obvious after liposuction” an indication of failed liposuction?
Worth noting is that when the sub-cutaneous thickness diminishes after liposuction is completed, the muscle curve and movements will be more easily seen compared to before, but we must be clear that it is not considered unevenness. 

In fact, there are many areas in the human body where the skin’s inherent and underlying skin fascia are connected by fiber, resulting in curling up. Even for models with a perfect curve, weight changes will also make the lines more obvious.
For example, there are inherent skin lines on the back and side of the thighs. For the front of the thigh, if muscles drastically shrink in size, waves can be more easily seen; cellulite is the enlargement of fat cells, which intensifies the curling up of fibers. Liposuction can improve the curling-up, but the existing structure will not disappear. Therefore, even if one gains weight, the phenomenon of concave and convex cellulite curling-up will still exist.

Why does the skin appear red after liposuction? Is it pigmentation?

No, it is not. If fat is extracted to a very thin extent to the point that only the skin and muscles remain with almost no dermal layer left, the superficial vascular plexus in the dermis will be more prone to damage, causing the skin texture to change with a red net-like appearance. This phenomenon will not change over time. The treatment involves tiling with fat and optimizing the environment many times to have a chance to make improvement, although it is difficult to completely restore the skin’s original color.
Regardless of the liposuction approach adopted, clinical cases seeking help for unevenness have been encountered. The following situations are the main factors causing the increased likelihood of unevenness.
1. The liposuction surgical approach causes excessive bleeding, which likely results in adhesion and scar tissues.
2.If the heat-producing liposuction approach is used, avoid the uneven accumulation of local heat. If the thermal injury is more serious, liposuction scarring may be aggravated and there will be greater resistance at the liposuction site when it is retreated. If it is excessively sunken, the frequency of fat fillings and environment optimization may need to be increased.
3. Weight changes and sudden weight gain or loss easily magnify the feeling of unevenness.
4.The liposuction site design is not according to the body structure. Take liposuction of the thighs for instance, the phenomenon of abnormal ratios likely to occur and sagging hips can be observed.
5.The body’s fat in different areas varies in the degree of hardness. For example, the fat in the lower arm is softer, and the upper arm has more fibers and is harder. Without mastery of skills, excessive extraction in softer areas and failing to properly clean the harder areas are likely to occur. This phenomenon is likely to occur in the deltoid muscle of the upper arm, giving a “cuff” feel.

Liposuction Master Pierre Fournier once said: “It is not the fat that is removed, but the fat that remains after liposuction that determines success.” I often use carving artworks as metaphors. If liposuction is an artwork, the most important part is the ultimate outcome, rather than discarding wood or stones. Hence, I hope everyone can correct the misconception that “extracting more is better.”
Unevenness can be treated. I hope that this article I completed today can be of help to all.
Please see the next article for the case sharing of an actual unevenness repair surgery.
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The content above is the clients personal experience and is shared with their consent. It only represents the effect of their treatment. All surgical procedure has inherent risks; only basic knowledge about the procedures are provided to the readers. Treatment may not be suitable for everyone; please consult with our doctor in person to determine whether or not to proceed with treatment. All preoperative and postoperative photos are used by the doctor to assist the patient in understanding the treatment.