Jason Emer, MD, FAAD, FACS
Revision Body Sculpting: Gladiator Lipo, Fat Grafting And Renuvion For A Patient With Scar Tissue And Loose Skin
How Dr. Jason Emer revises previous body sculpting surgery using ultrasonic liposculpture, purified fat grafting, internal skin tightening and a surgical chest lift to correct irregularities and build definition.
Dr. Jason Emer MD · FAAD · FACS
The practice's own photographs
Patients of the practice, from Dr. Emer's published before and after gallery. Each case is one patient. Individual results vary.
Revision body sculpting through dense scar tissue: ultrasonic liposculpture, super wet technique, purified fat grafting with exosomes, Renuvion internal tightening across torso, arms, back and mons pubis, and surgical chest lift to correct loose skin and unfinished definition left by a previous surgery.
Your plan starts with Dr. Emer.
Schedule ConsultationReserve online. West Hollywood and New York.
From the filmed session
What Dr. Emer did · MAXORIS
Numbing fluid floods the tissue to lift and separate scar tissue from previous surgery. Ultrasonic energy (Vaser) gently pushes scar tissue and fat cells aside, working superficially and around dense adhesions to sculpt the chest, abs, flanks, arms, back, mons pubis and neck without further trauma.
Fat harvested, purified to smooth consistency, blended with antiage exosomes, stem cells and growth factors, then grafted to the chest and shoulders to build rounded, dense muscle definition and help grafted cells survive and integrate into the new tissue.
Controlled internal heating delivered to the torso, arms, back and mons pubis to contract loose skin from underneath without external incisions, creating a flat, tight contour across all treated areas.
Nipple repositioned higher through marked incision, lower chest reshaped by aggressive carving and fat removal, gland excised where needed, correcting sagging and asymmetry the first surgery left behind.
Peptides started after the procedure to support skin tightening and muscle building during recovery.
Why patients fly in
Traditional liposuction cannot work through dense scar tissue without creating more trauma. Dr. Emer floods the area with numbing fluid to lift and separate the tissue, then uses ultrasonic energy to gently push scar tissue and fat cells aside so the skin can be sculpted superficially and around adhesions without further damage.
Grafted fat cells must survive the transfer and integrate into the new tissue to build lasting volume. Dr. Emer blends purified fat with antiage exosomes, stem cells and growth factors before grafting to the chest and shoulders, giving the cells the vascularity and growth signals they need to stay in the new tissue long term.
Most surgeons skip the mons pubis or treat it lightly. Dr. Emer aggressively liposuctions the fat above the genital area and applies Renuvion internal heating to tighten the skin, preventing the pooch that returns with weight gain after surgery.
Loose, uneven lower chest skin requires surgical correction, not just liposuction. Dr. Emer repositions the nipple higher, aggressively carves and reshapes the lower chest, and removes the sagging tissue that other surgeons leave behind.
The arm is one of the most meticulous areas, requiring expertise to create shape without removing too much. Dr. Emer carves deep indentations along the bicep and shoulder to give the muscle more definition and a lifted, separated look.
THE THINKING BEHIND THE TREATMENT
Follow Dr. Emer’s approach through the stages described in this case.
Back to the video ↗Scar tissue, loose skin, and definition that was not as sharp as he expected.
He had body sculpting surgery elsewhere. The result was not as defined as he wanted, the skin was loose, and scar tissue created irregularities across the torso and arms. He came to Dr. Emer to fix it.
Planned to correct what was done before while adding the definition and tightness that should have been there from the start.
Dr. Emer used ultrasonic liposculpture to work through the scar tissue, the super wet technique to lift the tissue safely, and purified fat grafting blended with exosomes to build the chest and shoulders. Renuvion J Plasma was used internally to tighten the skin across the torso, arms, back and mons pubis. A surgical chest lift repositioned the nipple and reshaped the lower chest to remove the sagging the first surgery left behind.
This was a full revision: correcting irregularities, removing scar tissue, tightening loose skin, and building the chest, shoulders and core definition that should have been the outcome the first time.
After the procedure, the patient will start on peptides to support skin tightening and muscle building during recovery. The combination of sculpting, fat grafting, internal heating and peptide support is designed to give him the definition and tightness that the first surgery did not deliver.
This was a full revision: correcting irregularities, removing scar tissue, tightening loose skin, and building the chest, shoulders and core definition that should have been the outcome the first time.
When the first surgery left work unfinished / Patient story
Scar tissue, loose skin, and definition that was not as sharp as he expected.
He had body sculpting surgery elsewhere. The result was not as defined as he wanted, the skin was loose, and scar tissue created irregularities across the torso and arms. He came to Dr. Emer to fix it.
Dr. Emer used ultrasonic liposculpture to work through the scar tissue, the super wet technique to lift the tissue safely, and purified fat grafting blended with exosomes to build the chest and shoulders. Renuvion J Plasma was used internally to tighten the skin across the torso, arms, back and mons pubis. A surgical chest lift repositioned the nipple and reshaped the lower chest to remove the sagging the first surgery left behind.
This was a full revision: correcting irregularities, removing scar tissue, tightening loose skin, and building the chest, shoulders and core definition that should have been the outcome the first time.
The patient in this video had body sculpting surgery elsewhere. The result was not as defined as he expected, the skin was loose, and scar tissue created irregularities across the torso and arms. He came to Dr. Emer to fix it.
This is a revision case: correcting what was done before while adding the definition, tightening and symmetry that should have been there from the start. Dr. Emer used ultrasonic liposculpture to work through the scar tissue, purified fat grafting to build the chest and shoulders, Renuvion J Plasma for internal skin tightening, and a surgical chest lift to reposition the nipple and reshape the lower chest.
Scar tissue from previous surgery creates resistance under the skin, making traditional liposuction difficult and risky. Dr. Emer used the super wet technique, flooding the area with numbing fluid to lift the tissue, combined with ultrasonic energy to gently push the scar tissue and fat cells aside.
That approach allowed him to sculpt through the resistance without traumatizing the tissue further. The ultrasound breaks apart the scar tissue so the skin can be lifted and reshaped, and the fat can be harvested cleanly for grafting.
How a revision is built
Planned to correct what was done before while adding the definition and tightness that should have been there from the start.
Numbing fluid floods the area to lift the tissue, and ultrasonic energy gently pushes scar tissue and fat cells aside so the skin can be sculpted without further trauma.
Fat is harvested, purified, and blended with exosomes, stem cells and growth factors before being grafted to the chest and shoulders to build volume and definition.
Controlled heat is delivered internally to contract loose skin across the torso, arms, back and mons pubis without external incisions.
The nipple is repositioned higher, and the lower chest is reshaped to remove sagging and create a lifted, defined contour.
After the procedure, peptides support skin tightening and muscle building during recovery.
The treatment, explained
Also called revision liposuction, scar tissue removal, ultrasonic liposculpture, Vaser lipo, fat grafting with exosomes, Renuvion skin tightening, J Plasma, chest lift, gynecomastia revision, male body contouring revision, super wet technique.
Signature procedures
Body / AETHRAFORM top tier
The top tier of MAXORIS™ body sculpting: high-definition liposculpture, fat grafting and internal tightening, planned as one masculine geometry rather than separate areas.
Peptides / biologic optimization
Peptide and biologic protocols for recovery, body composition and longevity, with epigenetic testing. RECODEX™ peptides are available to purchase through the practice after consultation.
Face / jaw
Dr. Emer's male jaw and face sculpting: a sharp mandibular line and defined angles, built with structural filler, debulking liposuction with internal heating, and hidden-scar neck lifting when the anatomy calls for it.
Why Dr. Emer
Two decades of correcting what others left behind, using techniques that work through scar tissue without creating more.
Dr. Emer built his reputation on outcomes that other surgeons study. He pioneered high-definition body sculpting techniques that are now taught internationally, and his revision work is sought out by patients who have been elsewhere and want it done right.
Revision cases require more expertise than primary procedures: scar tissue changes how the tissue responds, loose skin requires internal tightening, and irregularities must be corrected without creating new ones. Dr. Emer personally performs every procedure in his practice, and his revision protocols combine ultrasonic liposculpture, purified fat grafting, internal heating and surgical correction in a single plan.
Traditional liposuction cannot work through dense scar tissue safely. Ultrasonic energy and the super wet technique lift and separate the tissue so it can be sculpted without further trauma.
Removing fat alone will not tighten loose skin. Renuvion J Plasma delivers controlled heat internally to contract the tissue from underneath.
Grafted fat cells must integrate into the new tissue to stay viable. Exosomes, stem cells and growth factors are added to the fat to help the cells survive and build lasting volume.
Revision sculpting removes the irregularities left by the first surgery and reshapes the tissue to create smooth, symmetric definition.
Asked plainly, answered plainly
Scar tissue can be broken apart and reshaped using ultrasonic liposculpture and the super wet technique. Dr. Emer floods the area with numbing fluid to lift and separate the tissue, then uses ultrasonic energy to gently push scar tissue and fat cells aside so the skin can be sculpted superficially and around adhesions without creating more trauma. The goal is to remove irregularities and smooth the contour, not to create new scar tissue.
Grafted fat cells that survive the first few weeks typically remain long term. Dr. Emer blends purified fat with antiage exosomes, stem cells and growth factors before grafting to the chest and shoulders, giving the cells the vascularity and growth signals they need to integrate into the new tissue and stay viable. The fat that does not survive is reabsorbed by the body within the first few weeks. Final volume is visible after three to six months.
Renuvion delivers controlled heat internally to tighten loose skin without external incisions. Dr. Emer applies it across the torso, arms, back and mons pubis to contract the tissue from underneath, creating a flat, tight contour. The skin continues to tighten for up to a year as collagen remodels. It is especially important in revision cases where the first surgery left loose, sagging skin.
Most patients are back to light activity within a week, with full recovery taking several weeks depending on the extent of the revision. Compression garments are worn continuously for the first few weeks, and peptides are started after the procedure to support healing. Strenuous exercise and heavy lifting are avoided for four to six weeks. The recovery plan and timeline are set during consultation based on the procedures performed and the amount of scar tissue that must be corrected.
Most irregularities, scar tissue, loose skin and unfinished definition can be corrected with revision body sculpting. The extent of correction depends on the tissue quality, the severity of the scar tissue, and what was done before. Candidacy and what can be achieved are determined during consultation with Dr. Emer based on your case, your goals, and a realistic assessment of what a revision can deliver.
The mons pubis is the fat pad above the genital area. If it is not aggressively liposuctioned and tightened, it can remain as a pooch even after the rest of the body is sculpted, and it will grow back with weight gain. Dr. Emer liposuctions the mons pubis flat and applies Renuvion internal heating to tighten the skin, preventing the bulge that other surgeons leave behind.
The super wet technique floods the area with numbing fluid to lift and separate the tissue before sculpting. This is especially important in revision cases where dense scar tissue creates resistance. The fluid lifts the skin away from the scar tissue so ultrasonic energy can gently push the fat and adhesions aside, allowing Dr. Emer to sculpt superficially and around the scar tissue without further trauma.
The surgical chest lift repositions the nipple higher through an incision around the areola. The scar is placed at the border of the areola where it is less visible. Dr. Emer also aggressively carves and reshapes the lower chest to remove sagging tissue and create a lifted, defined contour. Scar appearance depends on healing, skin type, and adherence to post-procedure care. The scar typically fades over time.
A consultation with Dr. Emer covers what was done before, what can be corrected, and whether revision body sculpting fits your case.
Schedule ConsultationWest Hollywood and New York City