When prior surgery leaves scar tissue and lost definition
The patient in this video is athletic and fit, but previous body contouring left him with scar tissue, skin that would not contract properly, and lost definition in the abs. In certain lighting and with movement, the irregularities were visible. Other procedures had also affected the chest area, which was never treated well in the first place.
This is a revision case, and Dr. Emer is seeing more of them lately. When technology is used too aggressively, without proper aftercare, or without the right technique, scar tissue develops and definition fades over time. This session addresses all of it: the scar tissue, the chest, the abs, and a hernia, in one plan.
How the revision is built
Dr. Emer starts with a super wet technique, overfilling the area with tumescent fluid to lift the tissue and push scar tissue away. The skin is thick from prior surgery, so more fluid is necessary to separate the layers and prepare for the next steps.
Ultrasonic liposuction (Vaser) is then used to break apart scar tissue and push fat cells aside. The steam heat from the ultrasound shrinks and smooths the scar tissue. When the fat is removed, it appears whitish, a sign of heavy scar tissue mixed in. Some of that will be purified out for grafting, but removing it allows the skin to tighten significantly.
Renuvion plasma is applied next. Dr. Emer describes it as a game changer for loose skin and scar tissue like this. The plasma shrivels the scar tissue, smoothing out indentations and irregularities and creating a more even surface.
Rebuilding the chest and repairing the hernia
The chest area, which Dr. Emer calls one of his specialties, is sculpted to create what he describes as a gladiator chest. The borders are defined, puffy tissue is removed, and the chest is lifted and made more defined. Fat grafting is used, along with plasma to smooth everything out and improve contour.
The hernia is repaired from the inside, without opening the skin from the outside and leaving a scar. Dr. Emer tightens the hole and places the fat that came from inside the belly back into the area, closing the hernia without external incisions.
Enhancing the abs with filler
After the liposuction, fat grafting and plasma work, the abs need to pop. Dr. Emer waits for some healing to occur and for the patient to start working out before placing filler into the abs. Sometimes this is done the day of surgery, but in this case the goal was to let the tissue tighten and improve first.
A combination of a permanent filler and a non-permanent filler is used to build out the abs. Placement is critical: the filler adheres into the tissue and into the fascia of the muscle, creating more definition. Dr. Emer notes that this technique, used for many years, looks really good when done well. A small amount of fat is also placed into the fascia and muscle to volumize areas where prior surgery created indentations.
Who this fits
This is a revision case for someone who is already fit but lost definition and developed scar tissue from prior surgery. It is not a first procedure. It is a correction that requires breaking apart scar tissue, reshaping the body, and strategically placing fat and filler to restore and enhance contour.
Candidacy depends on your history, your tissue, and what needs to be corrected or built. That is exactly what a consultation covers.
