High Definition Liposuction Revision

Four deformities this correction is written to treat

• 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 are said to be improvable with VASER liposuction, because it is given several advantages over traditional liposuction. The American Society of Plastic Surgeons says liposuction, also known as lipoplasty, is a surgical procedure that involves the removal of excess fat from specific areas of the body. The same society says liposuction can be performed alone or along with other plastic surgery procedures, such as a facelift, breast reduction or a tummy tuck. It also says you may need more surgeries to remove and tighten extra skin. The hours, the 30 to 40 % extra time, the Nitro paste, and the two week recovery below are this page's own.

• 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 does this page say the deformities above may be resolved. That resolution is said to include elimination of divots in the superficial layer, elimination of asymmetry or wave-like deformities in the deep layer, and correction of PAH deformities. If skin redundancy is present, a combination of VASER and either Renuvion skin tightening or actual skin excision using a mini tummy tuck is used to tighten the skin and strategically eliminate skin roll deformities.

The clock, the anesthesia, and the extra time

High definition liposuction revision is listed with these operative facts.

• 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, including compromised fat and compromised skin

Prolonged operative times should be expected, because removal of previously treated areas is associated with increased scar tissue 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.

• 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.

What is called permanent, and what is said to return

Patients are universally pleased with the revision high definition liposuction results, as the corrections are definitive and permanent. The PAH line below says those deformities came back at two years. Both accounts stay.

Paradoxical adipose hyperplasia (PAH) involves an overgrowth of the deep fat layer following cryotherapy (Coolsculpting) and subsequent patient weight gain. Cryotherapy results in the removal of the superficial fat layer only in the treated areas. Unfortunately, this treatment then results in loss of pressure inhibition on the deeper fat if weight gain follows. Patients with PAH demonstrate localized areas of deep fat overgrowth and resulting skin growth that creates discrete mound deformities. Vaser technology allows for the definitive removal of this deep fat in the cryo-treated areas and uniform removal of superficial and deep from adjacent regions. As a result, the entire patient can be debulked of unwanted fat universally. In addition, Renuvion skin tightening is used to tighten any skin redundancy following fat removal to avoid a secondary contour deformity. To date, patients two years out from PAH correction using high definition lipo revision have demonstrated the reoccurrence of their deformities.

Questions the page already answers

What the correction involves

High definition liposuction revision entails the correction of any deformities created by ineffective fat removal during the initial liposuction procedure. By uniform and comprehensive removal of all fat layers using VASER technology, the page says surgeons may ensure definitive and permanent correction of all deformed areas. When minimal to moderate skin redundancy is present, Renuvion technology can tighten the skin without a more invasive excision. More minor tucking procedures may be used when moderate to severe skin redundancy is present, to eliminate redundant skin and the contour deformities that follow.

Who is called a candidate

You are a good candidate for high definition liposuction revision if you are dissatisfied with the appearance of your body contour following a previously performed fat removal procedure. Whether the result looks operated, or there are divots, asymmetry, or skin rolls, the page says all of these deformities can be corrected. The surgeon determines candidacy at the consultation. Outcomes after uniform removal of all fat layers are called typically permanent.

How long to plan to be down

The surgery is said to require more aggressive fat removal and a longer recovery. Routine high definition liposuction requires 1 week for recovery, and this revision will require 2 weeks for a full recovery.

Where it is performed

Your successful liposuction procedure will be typically performed in a surgical facility. Your liposuction surgeon will want to review your earlier liposuction procedure and to confirm that you are a good candidate for liposuction revision. If you have access to your primary liposuction operations, bring them to your consultation with your expert at liposuction revision. Advanced liposuction technologies using VASER liposuction and Reunvion J plasma will improve any deformities from previous liposuction procedures.

Scarred areas, and the ultrasound claim

The correction is said to use Vaser technology that emits an ultrasound wave that can emulsify fat from all layers before removal and also break up scar tissue from prior surgery. The page compares that claim with gynecomastia: Vaser alone can remove all of the glandular and discoid tissue underneath the nipple and areola. Traditionally, gynecomastia surgery requires direct excision of this discoid tissue. With ultrasound energy, the page says this tissue can be removed with Vaser liposuction alone.

Vaser technology utilizes ultrasound energy to emulsify any residual fat cells left after a botched fat removal procedure. This energy allows all layers of fat, including the superficial and/or deep layers, to be removed comprehensively. Regardless of whether the deep fat was removed unevenly or the superficial fat was removed inappropriately, all superficial and deep fat is removed universally. In doing so, patients have ensured a smooth and permanent correction of their deformities.