Jason Emer, MD, FAAD, FACS
Revision Body Sculpting For Men: How Dr. Emer Fixes Previous Liposuction That Missed The Mark
What happens when the first body sculpting surgery leaves scar tissue, sagging, and irregular contours. Dr. Jason Emer walks through a full revision case combining advanced liposuction, fat grafting, and plastic surgery to restore athletic definition.
Dr. Jason Emer MD · FAAD · FACS
The practice's own photographs
The same patient from the filmed session, photographed by the practice at each stage. Individual results vary.
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Other patients, same treatment family. Each case is one patient.
Dr. Emer combined VASER ultrasound, internal plasma heating, fat grafting to the chest and buttock, and a modified nipple lift with gland removal to restore athletic definition after previous liposuction left scar tissue, sagging, and irregularities shaped in the wrong place.
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From the filmed session
What Dr. Emer did · MAXORIS
Ultrasound energy breaks through fibrous scar tissue in the back, chest, and abdomen from previous surgery, allowing skin release and repositioning while preserving fat cells for grafting. Super wet technique with high-volume tumescent fluid to decrease swelling and work through scarring.
“This vasor is going to help us break through the scar tissue, get that additional fat that we can use for also lifting his chest cuz he's a lot of sagging at his lower chest.”
Dr. Emer, in the film
Removal of residual fat and scar tissue from the back, chest, sides, and abdomen. Deep and superficial sculpting to correct abs shaped incorrectly in the previous surgery, creating exact symmetrical definition matching natural anatomy.
“So, we're sculpting his abs out now. And again, being very meticulous. You can see there's a lot of scar tissue here. And they shaped his abs long before.”
Dr. Emer, in the film
Internal plasma applied to shrink wrap thickened dermis and scar tissue from underneath where no fat remains, tightening loose skin in the back and lower abdomen. More aggressive application for darker skin with thicker dermis.
“we use the plasma more aggressively to shrink wrap underneath the skin so it gets more tight after surgery”
Dr. Emer, in the film
Harvested fat strained, irrigated with antibiotic solution, and injected to the upper buttock for lift and to the chest for volume before nipple lift. Thicker, more fibrous fat due to scar tissue, equivalent to approximately 60 to 80 vials of Sculptra.
“So, we don't have much fat, but with the syringe we have, he'll get equivalent to about 80 um or 60 vials of sculpture. So, we're going to inject that just the upper buttock. So, he gets a little bit of lift.”
Dr. Emer, in the film
Semicircular incision toward the lower portion of the areola with 1 cm flap of subcutaneous fat left under the skin to prevent contraction during healing. Gland excision to address sagging and puffiness, creating border and definition.
“We're lifting the chest with a modified nipple lift and removing the gland tissue so it's not as puffy and he gets more of that border on his chest”
Dr. Emer, in the film
Surgical removal and laser treatment of scars left on the upper chest from previous surgery.
“Scars were also left on his upper chest that we lasered and revised.”
Dr. Emer, in the film
Why patients fly in
Ultrasound energy pushes fat cells aside safely rather than damaging them with heat or aggressive liposuction, so the harvested fat remains viable for transfer to the chest and buttock.
“Pushes the fat cells aside safely. So, you can actually use those fat cells for grafting. Otherwise, heat like a laser or um very aggressive lipo can actually damage the fat”
Liposuction alone could not correct the sagging chest. The plan integrated a modified nipple lift and gland removal with the contouring work to restore lift and definition.
“However, we also have to do some plastic surgery. We're going to be lifting his chest. He's got a lot of sagging.”
After previous surgery, thickened dermis and scar tissue can feel like fat but yield nothing during liposuction. Plasma is applied more aggressively to tighten the skin from underneath instead.
“Darker skin patients have actually thicker skin. So, it may feel like there's fat in there, but if we go in there and there's no fat coming out, it's literally just the skin.”
High-volume tumescent fluid floods the area to decrease swelling and bruising and allows the skin to be lifted and repositioned despite extensive scarring from the previous procedure.
“We're going to have to do a super wet technique since he had previous surgery and has a lot of scar tissue.”
The abs were shaped incorrectly and not in the right place in the first surgery. Deep and superficial work through scar tissue created exact symmetrical definition matching the patient's natural anatomy.
THE THINKING BEHIND THE TREATMENT
Follow Dr. Emer’s approach through the stages described in this case.
Back to the video ↗Scar tissue, sagging chest, indentations, and abs shaped in the wrong place.
The patient in this video had already been through body sculpting surgery. What remained was not athletic, defined, or natural looking. His chest was sagging and puffy. His abs were not defined properly and not in the right place. There were indentations, irregularities, and scars on his upper chest.
Revision cases require combining advanced liposuction, internal heating, fat grafting, and sometimes plastic surgery to restore contour where scar tissue and irregularities remain.
“We're going to have to do a super wet technique since he had previous surgery and has a lot of scar tissue.”DR. JASON EMER · FROM THE VIDEO
Dr. Emer used VASER ultrasound liposuction to break through the fibrous scar tissue, internal plasma heating to tighten loose skin, fat grafting to the chest and buttock to restore volume and lift, and a modified nipple lift with gland removal performed by a plastic surgeon to address the sagging and create border and definition.
“So now we're sculpting out the chest and sides of the chest. Remember, this is an area where he had a lot of looseness. We really got to get this tissue to elevate.”DR. JASON EMER · FROM THE VIDEO
The fat harvested was thicker and more fibrous because of the scar tissue, and there was not much of it. What Dr. Emer collected was equivalent to about 60 to 80 vials of Sculptra, injected into the upper buttock for lift and into the chest before the nipple lift. The abs were re-sculpted into the correct symmetrical position, and the lower abdomen was tightened with plasma where there was an indentation and looser skin.
“So, I gave him a more sculpted look. We evened it out the best that we could and we lifted the chest as much as possible.”DR. JASON EMER · FROM THE VIDEO
When the first surgery does not deliver / Patient story
Scar tissue, sagging chest, indentations, and abs shaped in the wrong place.
The patient in this video had already been through body sculpting surgery. What remained was not athletic, defined, or natural looking. His chest was sagging and puffy. His abs were not defined properly and not in the right place. There were indentations, irregularities, and scars on his upper chest.
Dr. Emer used VASER ultrasound liposuction to break through the fibrous scar tissue, internal plasma heating to tighten loose skin, fat grafting to the chest and buttock to restore volume and lift, and a modified nipple lift with gland removal performed by a plastic surgeon to address the sagging and create border and definition.
The fat harvested was thicker and more fibrous because of the scar tissue, and there was not much of it. What Dr. Emer collected was equivalent to about 60 to 80 vials of Sculptra, injected into the upper buttock for lift and into the chest before the nipple lift. The abs were re-sculpted into the correct symmetrical position, and the lower abdomen was tightened with plasma where there was an indentation and looser skin.
Watch the full procedure on YouTube: https://www.youtube.com/watch?v=1pRBawVyk4w
This patient already had liposuction. What he did not have was the athletic, defined, natural-looking result he was told to expect. Scar tissue. A sagging chest. Indentations. Abs shaped in the wrong place entirely.
That is what Dr. Emer sees when patients travel in for revision work. Previous surgery leaves irregularities and thickened tissue that make a second procedure significantly harder than the first. As he says in the video: very few doctors are able to do this type of transformation, and it sometimes cannot even be improved.
This was not one technique. Dr. Emer combined high definition liposuction with VASER ultrasound to break apart scar tissue, internal plasma heating to tighten loose skin, fat grafting to the chest and buttock for lift and volume, and a modified nipple lift with gland removal performed by a plastic surgeon to address the sagging and puffiness in the chest.
The VASER portion is critical in revision cases. Ultrasound energy breaks through the fibrous scar tissue left by the prior surgery and allows Dr. Emer to lift and reposition the skin. He uses a super wet technique, flooding the area with tumescent fluid to reduce swelling and bruising while creating the ability to work through the scarring.
Fat harvesting in a revision case is harder. This patient had thicker, more fibrous fat because of the scar tissue, and there was not much of it. Dr. Emer strained the fat, irrigated it with antibiotic solution, and loaded it into syringes. What he harvested was equivalent to about 60 to 80 vials of Sculptra, injected into the upper buttock for lift and into the chest to restore volume before the nipple lift.
How revision body sculpting is built
Revision cases require combining advanced liposuction, internal heating, fat grafting, and sometimes plastic surgery to restore contour where scar tissue and irregularities remain.
Ultrasound energy breaks through the fibrous scar tissue left by previous surgery, allowing the skin to be lifted and repositioned. A super wet technique floods the area with tumescent fluid to decrease swelling and make it possible to work through the scarring.
Internal plasma shrinks the skin from underneath, tightening areas where there is sagging or indentation. Darker skin patients have thicker skin, and plasma is applied more aggressively where needed.
Fat is harvested, strained, irrigated with antibiotic solution, and injected into the chest and buttock to restore lift and volume. In revision cases, fat is often thicker and more fibrous, and there is less of it.
A modified nipple lift with gland removal addresses sagging and puffiness in the chest, creating border and definition. A semicircular incision is made toward the lower portion of the areola, and a one centimeter flap of fat is left under the skin to prevent contraction as it heals.
The treatment, explained
Also called revision liposuction, botched lipo repair, body contouring revision, VASER revision lipo, male body sculpting revision, gynecomastia revision, chest lift for men, abdominal etching revision, fat grafting revision.
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
Scar tissue, irregularities, and limited donor fat make the second surgery harder than the first.
Patients fly across the world to Dr. Emer specifically for revision body sculpting. What draws them is not a single device. It is his ability to combine advanced liposuction techniques, internal skin tightening, fat grafting, and plastic surgery in cases where the first procedure left visible, lasting problems.
As he says in the video of this case: very few doctors are able to do this type of transformation. With more doctors performing body contouring procedures without experience or technical skill, it is really important you go to an expert the first time to get it right. When that does not happen, revision is the path, and candidacy depends on what the previous surgery left to work with.
Scar tissue from previous surgery makes the tissue thicker and harder to work through. It limits how much fat can be harvested and requires more aggressive techniques to release the skin.
Indentations, uneven contours, and areas where fat was removed incorrectly require deep and superficial work to restore symmetry and definition.
Loose skin and thickened dermis may feel like fat but yield nothing during liposuction. Plasma heating tightens from underneath, but the degree of improvement depends on skin quality.
As Dr. Emer says in the video, sometimes a revision case cannot even be improved. Candidacy depends on what the previous surgery left to work with and whether the goals are realistic.
Asked plainly, answered plainly
Dr. Emer uses internal plasma heating to tighten loose skin from underneath and re-sculpts the abdominal area to correct placement and symmetry. Indentations are addressed through deep and superficial work. What can be done depends on tissue quality and scar tissue burden, determined at consultation. Individual results vary.
It depends on what the previous surgery left behind. Scar tissue, skin quality, the extent of irregularities, and whether your goals are realistic determine whether improvement is possible. Some cases cannot be improved. A consultation with Dr. Emer covers your specific case and whether revision body sculpting is an option.
Scar tissue from the previous surgery makes the tissue fibrous and limits how much fat can be harvested. It requires more aggressive techniques such as VASER ultrasound and super wet tumescent to break through and release the skin. The result depends on what remains to work with, and sometimes the outcome cannot even be improved.
Some revision cases require plastic surgery to address sagging or remove excess gland tissue that liposuction alone cannot correct. The patient in this video needed a modified nipple lift and gland removal to restore chest definition and lift. Whether plastic surgery is part of your plan is determined at consultation.
Less than in a first procedure. Scar tissue makes the fat thicker and more fibrous, and there is often not much of it. The patient in this video had fat equivalent to approximately 60 to 80 vials of Sculptra, which was grafted to the upper buttock for lift and to the chest for volume.
The super wet technique uses high-volume tumescent fluid to flood the area, decrease swelling and bruising, and allow the skin to be lifted and repositioned despite extensive scar tissue from previous surgery. It is used in revision cases where breaking through fibrous tissue is required.
Yes, if there is enough tissue to work with. The patient in this video had abs shaped incorrectly and not in the right place. Dr. Emer re-sculpted them through scar tissue with deep and superficial work to create exact symmetrical definition matching the patient's natural anatomy.
After previous surgery, thickened dermis and scar tissue can feel like fat but yield nothing during liposuction. In these cases, internal plasma is applied more aggressively to shrink wrap and tighten the skin from underneath. Darker skin patients have thicker skin and may require more plasma.
A consultation with Dr. Emer covers what the previous surgery left behind, what can realistically be done, and whether revision body sculpting fits your goals.
Schedule ConsultationWest Hollywood and New York City