Fibrous tissue limits what can be done
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.
When the first surgery does not deliver
Very few doctors can fix what another left behind.He is one of them.Revision body sculpting
Athletes, performers and executives cross oceans for one chair. His.
Dr. Jason Emer is a board-certified dermatologist and cosmetic surgeon whose revision body sculpting work combines VASER ultrasound, internal plasma heating, fat grafting, and plastic surgery to restore athletic definition after previous liposuction left scar tissue, sagging, and irregular contours. Revision cases are significantly more challenging than first procedures and require advanced technical skill.
- A global patient base built on results
- Sculpting work studied by physicians worldwide
- Every procedure performed personally by Dr. Emer
- West Hollywood · New York City
Revision candidacy depends on the extent of previous work, tissue quality, and whether goals are realistic given what remains. Individual results vary.
From the filmed session
Watch the session. Unedited moments.
Revision Body Sculpting: Fixing Previous Lipo With VASER, Fat Grafting + Plastic Surgery | Dr. Jason Emer
He already had liposuction. What he did not have was the result he was promised.
Open on YouTubeWhen the first surgery does not deliver / Patient story
He already had liposuction. What he did not have was the result.
Scar tissue, sagging chest, indentations, and abs shaped in the wrong place.
The patient in this video already had body sculpting surgery. What he was left with 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 combined 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
When the first surgery does not deliver
The patient in this video already had liposuction. What he did not have was the athletic, defined, natural looking result he was promised. Instead: scar tissue, sagging chest, indentations, and abs shaped in the wrong place.
That is the case Dr. Emer sees when patients fly in for revision work. Previous surgery left irregularities and thickened tissue that make a second procedure significantly more challenging 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.
What revision body sculpting actually requires
This was not a single 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 previous surgery and allows Dr. Emer to lift and reposition the skin. He uses a super wet technique, flooding the area with tumescent fluid to decrease swelling and bruising while making it possible to work through the scarring.
Fat harvesting in a revision case is harder. The 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.
Why Dr. Emer
Revision is not a redo. It is a rebuild.
Scar tissue, irregularities, and limited donor fat make the second surgery harder than the first.
Dr. Emer built his reputation on outcomes that other surgeons study and patients fly across the world to access. His revision body sculpting work is sought out specifically because he combines advanced liposuction techniques, internal skin tightening, fat grafting, and plastic surgery in cases where the first procedure left visible 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.
- Board-certified dermatologist and cosmetic surgeon
- Every procedure performed personally by Dr. Emer
- West Hollywood and New York City
EMER METHOD™×RECODEX™
Irregularities require meticulous sculpting
Indentations, uneven contours, and areas where fat was removed incorrectly require deep and superficial work to restore symmetry and definition.
Skin may not tighten as expected
Loose skin and thickened dermis may feel like fat but yield nothing during liposuction. Plasma heating is used to tighten from underneath, but the degree of improvement depends on skin quality.
Not every case can be fixed
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.
How revision body sculpting is built
Multiple techniques. One session.
Revision cases require combining advanced liposuction, internal heating, fat grafting, and sometimes plastic surgery to restore contour where scar tissue and irregularities remain.
- 01
VASER ultrasound to break scar tissue
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.
- 02
Plasma heating to tighten loose skin
Internal plasma is used to shrink wrap 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.
- 03
Fat grafting to restore volume
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.
- 04
Plastic surgery when required
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.
Asked plainly, answered plainly
What men ask before they book.
Can my botched lipo be fixed?+
It depends on what the previous surgery left behind. Scar tissue, skin quality, and the extent of irregularities determine whether improvement is possible. A consultation with Dr. Emer covers your case and whether revision is realistic.
Why is revision harder than the first surgery?+
Scar tissue makes the tissue fibrous and limits how much fat can be harvested. It requires more aggressive techniques to break through and release the skin, and the result depends on what remains to work with.
Will I need plastic surgery?+
Some revision cases require plastic surgery to address sagging or remove excess gland tissue. The patient in this video needed a modified nipple lift and gland removal to restore chest definition.
How much fat can be grafted in a revision case?+
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 about 60 to 80 vials of Sculptra, injected into the chest and buttock.
Find out if your case can be improved.
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.
Request a consultationWest Hollywood and New York City