Correction of Surgerys
Gallery
Correction of Prior Liposuction Surgery
The majority of the unwanted results or sequels of prior liposuctions are due to the NON
compliance to the basic principles of the technique. Regardless of the Technology used
(Ultrasound, Laser, Vaser, Vibroliposuction, Traditional) or the tactic used (Tumescent, Dry or Wet) one must always respect the skin and the subcutaneous cellular tissueadjacent to it. This means that during the procedure the depth of the cane tube is the key to the procedure.
The human body has two types of body fat. The Superficial or Areolar fat layer which is
located just below the skin and gives the skin its tone, color and lushness and cannot be
liposuctioned because it would cause fibrosis, adhesions, fatty depressions and
furthermore cause circulation damage which can be easily noticed due to the violaceous
or purple skin color giving it a marmoreal aspect. The second type is the Deep or
Profound type and is the one the Plastic Surgeon should reach and remove in order to
avoid the complications described above.
Another common complication with patients that were superficially liposuctioned is that
they cannot slim down or put on weight in a harmonious or proportioned way. Since the
first layer of fat just below the skin has been removed those fatty cells cannot produce fat
and Lipogenisis occurs which consists of Hipertrophy or a Hiperplasia of the deep fatty
cells not allowing the patient to slim down or put on weight in a harmonious and
proportioned way. That’s why the Plastic Surgeon usually hears the Patient saying “I had
Liposuction done but now I put on weight only on my legs” or vice versa.
The correction of errors or sequels of prior liposuctions is one of the most challenging
procedures in our profession and not all the cases can be corrected to our liking. These
challenges arise because of the Superficial Liposuction and the solution is to Superficially
Lipoinject. Furthermore when the Plastic Surgeon does not have a clear understanding of
the different fat layers on the human body and thus superficially liposuctions the
procedure is very painful which would not happen with a profound or deep Liposuction.
The superficial fatty layer is separated from the profound or deep layer by a fascia called
FASCIA SUPERFICIALIS which must be traversed in order to reach the correct location of the fat layer that has a very different consistency and thus can be easily removed. That’s the secret.