High Definition Liposuction Revision

Introduction To High Definition Liposuction Revision

High Definition Liposuction Revision Procedure describes the correction of an entire gamut of botched liposuction outcomes. Poor liposuction outcomes following cosmetic procedures can result from a variety of causes. Liposuction revision surgery in plastic surgery requires additional liposuction to correct. Skin excision surgeries such as tummy tucks may be necessary in more severe botched liposuction cases. Liposuction revision plastic surgery can be recommended for any of the following reasons that include:

• Skin contour waviness or asymmetry; this complication occurs when the deeper fat layer is removed unevenly. The deep layer must be removed entirely and uniformly for optimal results following traditional liposuction. If the traditional liposuction provider lacks expertise, he/she may inadvertently leave patches of deep fat behind, creating wavy irregularities. This complication occurs most frequently when liposuction is performed under local anesthesia with an awake patient. This is because removing the last bit of fat requires the removal of the fat intimately adhered to the muscle tissues. Muscle tissues possess a higher density of pain fibers, making fat removal painful.  As a result, when patients attempt liposuction while awake, they will often ask their surgeon to stop liposuctioning prior to complete fat removal.

• Skin contour divots; this complication occurs when the liposuction provider attempts to remove superficial fat. The superficial fat is universally composed of fat pads traversed by a web of collagen pillars, called retaining ligaments, that provide stability to the overlying skin. When attempts are made to pierce the superficial fat with a cannula, the cannula will get wedged and stuck. This makes uniform superficial fat removal impossible. It is not feasible to clear out superficial fat because of the high density of retaining ligaments; any attempts to remove fat from this region will frequently result in unsightly grooves and divots.

• Paradoxical adipose hyperplasia(PAH); PAH has been coined to describe the overgrowth of deep fat following treatment with topical cryotherapy, branded as Coolsculpting. Coolsculpting results in the reduction of superficial fat and improved prominence. However, in a subset of patients, there is a paradoxical overgrowth of the deep fat directly underlying the treated superficial fat. It has been hypothesized that removing the superficial fat eliminates compression and physical hindrance of the deep fat cells for growth. Once the superficial layer has been compromised, and following moderate weight gain, this deeper fat grows unimpeded compared to other fat. This results in the deformity characterized as PAH.

• Skin roll deformities; Skin roll deformities and/or skin redraping irregularities describe generalized deformity in skin contour observed when redundancy in the skin has been created and/or not addressed. Patients who observe skin redundancy following liposuction will be marred by random redraping of skin that settles unevenly and appears operated and deformed.

Today, these botched outcomes results can be improved with VASER liposuction. This is because VASER liposuction has several unique advantages over traditional liposuction. VASER liposuction has the unique features of being able to:

• Removal of deep fat comprehensively and uniformly
• Removal of the superficial fat selectively
• Able to traverse through scar tissue
• Redrape skin irregularities

Only with uniform removal of fat from the superficial and deep layers can you be assured that all the deformities enumerated above may be resolved. Resolution of deformities will include the elimination of divots in the superficial layer, eliminating asymmetry or wave-like deformities in the deep layer, and correcting PAH deformities. If skin redundancy is present, a combination of VASER and either Renuvion skin tightening or actual skin excision using a mini-tucking procedure is used to tighten the skin and strategically eliminate any skin roll deformities.

High Definition Liposuction Revision Description:

• Procedure:  Correct any contour irregularities created by ineffective fat removal techniques and/or skin deformities arising from unmanaged skin redundancies.
• Length: 3 to 5 hours, dependent on the number of areas needing correction; in general revision, liposuction requires 30 to 40 % more treatment time than areas that are previously untreated.
• Anesthesia: General anesthesia.
• Place of Treatment: Outpatient procedure in an Outpatient surgical suite.

Side Effects of High Definition Liposuction Revision

Prolonged operative times. Prolonged operative times should be expected since the removal of previously treated areas is associated with increased scar tissue buildup that requires increased VASER times. VASER ultrasonic energy must be administered over longer to break through scar tissue and emulsify residual retained fat patches before removal with liposuction cannulas.  Side effects of secondary liposuction include:

• Partial loss of fat grafting volume. If you have undergone a prior liposuction procedure such as cool sculpting, Smart lipo, laser liposuction, or traditional liposuction, your fat quality will likely be compromised. Transfer of compromised fat following a BBL may result in loss of buttock volume within six months of surgery.

• Skin compromise. Since increased VASER times and more aggressive liposuction must be employed to attempt uniform removal of scar and fat tissue,  the overlying skin can become compromised. Early detection is critical to avoid any permanent damage to the skin. When skin compromise is detected, further VASER and/or liposuction of that area should be avoided. In addition, the topical application of Nitro paste will allow compromised tissues to be reverted to viable skin.

• Recovery: The recovery for revision high definition liposuction ranges longer than routine high definition liposuction procedures since longer operative times and more aggressive contouring must be accomplished. High definition lipo revision cases will routinely require 2 weeks for recovery. This is in contrast to the original procedure involving liposuction requires only a week of recovery.

High Definition Liposuction Revision Duration of Results

Patients are universally pleased with the revision high definition liposuction results, as the corrections are definitive and permanent.