Avoiding the operated look following abdominal liposuction requires both surgical and post surgical considerations. The most common cause of the operated look following abdominal liposuction is creating skin redundancy. When the skin is redundant, it does not know where to settle and thus it ends up settling down in random patterns. This random settling of skin results in an operated look following abdominal liposuction. Several measures can be taken preoperatively to avoid skin redundancy. Using the high definition body liposuction body scale, patients are evaluated regarding their fat excess but also their skin redundancy. Patient’s with minimal to moderate skin redundancy are recommended to undergo scar less Renuvion skin tightening to supplement their liposuction. Patients with moderate to severe skin redundancy are recommended strategic skin excisions that is intended to remove skin redundancy more aggressively. Postoperatively, it is critical to appropriately manage the post inflammatory response that results in generalized swelling of the subcutaneous skin layer. The post inflammatory response will result in stretching out of the skin and fibrotic and operated look of the skin. Patients undergo topical radiofrequency treatments as early as two weeks following surgery which is extended out through six weeks which counters the post inflammatory scar tissue build up. In addition, Accolate is utilized routinely starting two weeks before surgery and for two months after surgery in an attempt to counter the post inflammatory scar tissue buildup based on its efficacy to counter capsular contracture in breast surgery patients. The final consideration to avoid the operated look following abdominal liposuction is time. The body is truly amazing and over a six month period following surgery, the body will continue to even out the junction between areas liposuctioned and areas not suctioned.
Please see this 52 who had an amazing result following abdominal liposuction although at the early one month period she demonstrated the operated look following abdominal liposuction.