Kenneth Hughes, M.D., Harvard Trained, Board Certified Plastic SurgeonHarvard Club of Southern California Member
Harvard Alumni Association Member
Minimally Invasive Technology, Maximal Results
Silicone Injections and Bio Polymer Removal Expert
BodyTite/FaceTite – 40% Skin Tightening – Great Results WITHOUT the SCARS
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Liposuction Revision & Cellulite Reduction Los Angeles

Cellulite, Liposuction Revision, and Fat Grafting Procedure Information

Liposuction is a very well tolerated and successful procedure with a well-trained, expert surgeon. However, less experienced practitioners and nonplastic surgeons have entered into the liposuction field as well. As a result, liposuction revision has become a much more prominent surgery in Dr. Hughes’s practice as he has developed international reknown for liposuction revision and fat grafting skills. These revisions are extremely difficult and should only be attempted by experienced experts in the field.

Dr. Hughes performs 1 or 2 liposuction revision operations each week, while performing 500 or more total liposuction procedures each year. Many of these involve additional liposuction and fat grafting to improve the contours or deformities from the previous surgery. These revisions are extremely difficult and patients should have realistic expectations. 70% improvement is about as maximal as possible. Even if the surgery creates a perfect contour, healing is rarely perfect.

Please look at some of the examples in the cellulite, liposuction revision, and fat grafting photo galleries to get an idea for some of the more common requests and results.

Dimpling and cellulite can sometimes be improved as well with fat grafting techniques. Please look at the Brazilian buttlift galleries for specific examples.

Finally, peruse the body lift and thigh lift galleries to gain an appreciation of other options that Dr. Hughes may employ to help you revise previous results.

Dr. Hughes provides the entire gamut of procedures to help improve a less than optimal result from the first liposuction procedure performed elsewhere.

Liposuction Revision

Dr. Kenneth Hughes performs about 400 to 500 liposuction procedures each year, with many of these involving fat transfer to the buttocks, hips, calves, breasts, face, hands, etc. Out of these liposuction procedures, Dr. Hughes sees about 80% revision surgeries. Earlier in his career, Dr. Hughes performed about 30% liposuction revisions, but this number has grown over the past 5 years. There is a real need in the plastic surgery community to have board certified plastic surgeons who are immensely skilled at liposuction revision surgery. There are several reasons for this :

  1. There are several hundred thousand liposuction procedures performed annually in the United States and this results in many thousands of patients who seek liposuction revision procedures
  2. In addition, the skill set for liposuction revision is admittedly different as these surgeries are much more difficult due to the scar tissue, irregularities, and false paths generated in the first surgery

Those patients who have had multiple liposuction procedures and incisional surgeries ate certainly at greater risk for puncture of abdominal viscera such as the intestines, stomach, liver, blood vessels, etc. That is why it is imperative to have surgeons who have great skill and experience with just these types of procedures. Though no one is perfect and mistakes can occur, you want someone who has performed these revision liposuction surgeries thousands of times to reduce the risk for complications as much as possible. In addition, the goal of cosmetic plastic surgery is to produce a result that creates a better appearance and self image for the patient. Liposuction revision is very much reconstructive if you think about it as the first surgery creates deformity or poor shape or a combination of both.

Thus, liposuction revision is both restorative and cosmetic in many cases. It is foolish to believe that a surgeon who performs only a handful of these surgeries each year would have equal mastery or a skill level even close to that of Dr. Hughes. An experienced and honest surgeon constantly evaluates technique and results to provide for improved safety and efficacy when it comes to patient care. There are bad outcomes in any practice, but the real question is what is the probability that the surgeon can achieve your results without complications.

Many surgeons will proffer their wisdom about procedures for which they have little experience. This is a bit like criticizing an NFL quarterback like Peyton Manning for throwing an interception despite him being the best quarterback who ever lived. Everything is always scrutinized for the those individuals who succeed at the highest level by those who are less. People take sick pleasure in this as it is human nature to run down others and remain envious or jealous.

At the end of the day, there are thousands of before and after pictures and reviews that can attest to a surgeon’s skill level. It is up to the patient to sift through all of the potentially corrupted information put out by others to determine the best surgeon for a procedure.

Additional Reading on Liposuction

All articles are written by Dr. Kenneth B. Hughes, MD
Harvard-educated, Harvard-trained, Board Certified Plastic Surgeon in Los Angeles

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