Liposuction Revision Newport Beach

A checkerboard abdomen is diffuse indents and prominences that look like a checkerboard. Divots are what form when traditional liposuction is used to take soft tissue from the superficial fat layer. Lumps and bumps are the irregularities from traditional liposuction that cannot take fat evenly, so small areas are overdone and other small areas are underdone. A checkerboard is the wide pattern, dents spread beside raised spots. A divot is the narrower dent blamed on a superficial traditional pass. Lumps and bumps are the overdone spots sitting next to the underdone spots from a removal that is not even.

Underdone areas are fat that still needs to come out. Traditional liposuction is said to remove only the deep fat, so the superficial fat stays. Leftover superficial fat is the underdone finding. A divot from working in that same superficial layer is a different finding. Asymmetry is fat taken more on one side than the other, usually on the surgeon's dominant-hand side. A right-handed surgeon is said to be more likely to remove more fat from the right side than from the left side. The right-handed example takes more from the right side than the left, so the left side is the fuller side in that example. Handedness is a side-to-side difference, not a statement about deep versus superficial fat.

Compromised contour lines are what happen when the ideal lines are missed. The example is the female silhouette. The lines a revision is supposed to know include a dramatic waist from narrowing the waist as much as the plan allows, and a back-to-buttock curve called the Tilde curve. The silhouette, the waist narrowed as far as the plan allows, and the Tilde curve are the lines named. No inch measurement of the waist is given, and no angle of the back-to-buttock curve is given.

Skin redundancy after a thorough fat removal is its own irregularity. VASER is said to take fat aggressively, which makes leftover skin a larger concern. If that skin is not treated, it is said not to settle evenly, and the uneven drape is called an unnatural deformity. The unsettled skin is blamed on aggressive fat removal with VASER. It is not blamed on the traditional superficial pass that is tied to divots. Those two causes of a poor contour stay separate.

Revision surgery is called technically harder than primary liposuction. More liposuction is called routine, to even out fat that was taken unevenly. Extra maneuvers are called necessary for leftover skin or for contour problems left by the earlier liposuction. Further liposuction is the routine maneuver for uneven fat. The other maneuvers are for leftover skin and for contour problems the earlier liposuction left. The American Society of Plastic Surgeons describes liposuction as removal of excess fat from specific areas of the body. That sentence is the removal definition only. Checkerboard skin, the dominant-hand asymmetry, Renuvion, and garment wear are not that definition. The removal definition does not include those revision maneuvers.

Treatment is described as smoothing a fat volume or smoothing irregularities in skin thickness. Divots, lumps, and bumps are said not to be fillable the way a painting is filled. The maneuver named instead is removing the fat everywhere, so the whole contour is smooth. The refused method is filling each dent the way paint fills a mark. The kept method is taking fat across the whole area until the contour reads as one smooth surface.

The contour is also brought down to a single layer, so divots, lumps, bumps, and asymmetry are cleared. That single layer is the same goal as removing the fat everywhere.

Renuvion is used for skin tightening without a scar, and it is said to cover all areas of redundant skin. Skin excision is occasional, and it is for moderate to severe redundancy. Tightening without a scar, and cutting skin out for the more severe cases, both stay.

Recovery after liposuction revision Newport Beach is called more rigorous than the first operation. Compression garments are worn continuously. The recovery period may be longer than the recovery from the original liposuction. No day count is given for either period. Preoperative preparation and postoperative planning are named, and the sequence of operations is called customized. The sequence itself is not listed.