American Society of Plastic Surgeons
For Medical Professionals
4 years ago

Second liposuction

I m a 40 years old woman. I underwent a laser lipo for 6 years ago. My weight is 56kilo and high 162 cm. I have a quite healthy lifestyle and do gym 3 times/ week. The last year I feel that I have get back some fat on my belly and lovehandel area. Now I m considering to undergo a second liposuction. My question is if vaser liposuction will be a good option for me? Is there more options? Tanks

Procedure: Liposuction
Location: Gothenburg, ST - Sweden

Replies 7

Steven Wallach
ASPS Surgeon
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It’s not the device it’s the surgeon that is the difference. Good luck

Edward Domanskis

Manu of the patients I do have had liposuction before. I use various modalities to remove the fat like Vaser. I would recommend sending photos and I could give you a better idea what could be done.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery

Newport Beach, San Francisco,Miami, EU, Anguilla

Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine)

Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors

Plastic Surgery- 2005-2018

President,American Society of Bariatric Plastic Surgeons

Organoderm Skin care/ScaRxTape

Gregory Dowbak
ASPS Surgeon

Hej! Tack sa mycket! Din fraga ar bra! I agree agree with Dr Wallach. My experience revising patients who have had laser lipo has been consistent. Patient is left with very dense scarring, sometimes in visible rolls, bumps and depressions. There is little fat left so surgeon trying to level out skin surface will encounter scarring and little fat. Sometimes impossible to penetrate. Attempts to break down mounds of scar is risky, some surgeons have accidentally penetrated abdominal wall and injured internal organs. Vaser lipo uses sound waves to break up fat, thus it will not help with very dense scar from smart lipo (laser). Surgeon needs lots of tumescent, lots of muscle and lots of experience. Smaller diameter cannulas are helpful. Nothing fancy, just lipo old fashioned way and be careful. Surgeon should infuse 1,000 mg TXA at beginning procedure to decrease bleeding. Everyone I know who uses laser lipo is trying to sell this machine. Good Luck!

Nelson Castillo

Thank you for sharing your excellent question. Unfortunately despite their marketing, no specific liposuction technique has been show to be superior to traditional ones. Otherwise all plastic surgeons would use the same one. Seek out various surgical consults with specialists so that the best treatment decision can be rendered to have you reach your desired goals.

Matthew Camp
ASPS Surgeon

It is definitely possible to have another liposuction. All liposuction devices use the basic same principle of aspiration of fat - there is no tremendous difference that makes one better than another. Find a qualified surgeon with lots of experience, and you should expect a good result. Best wishes!

Karol Gutowski
ASPS Surgeon

Same opinion as Dr Wallach and Dr Dowbak. My experience with repeat liposuction in the same area as Laser Lipo (Smart Lipo) is that there is more scar tissue and it is harder to get good results. I tend to use Power Lipo in such cases but there is no evidence that one technique is better than another.

Jon Harrell
ASPS Surgeon

I have not been a big fan of the adjunct modalities used with liposuction such as ultrasound, laser, etc. It is the effort and artistry put forth by the surgeon that makes the difference. In secondary liposuction I have come across patients with previously very conservative liposuction and it was quite easy to suction fat and leave smooth results. On the other hand I have had patients that were so densely scarred that little could be done to help them. Most patients are somewhere in the middle - meaning they can be improved with low risk of worsening contour irregularities. However all patients need to know that secondary procedures do carry more risk as to disappointment with results. Best of Luck Dr Harrell


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