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Jason Emer, MD, FAAD, FACS

When the first surgery left irregularities. This is the fix.

Revision Liposculpture Day One: Correcting Irregularities From Previous BBLs And Honoring Patient Choice

Dr. Jason Emer walks through a complex revision case one day post-op, addressing irregularities from prior surgeries and explaining why patient autonomy matters in body contouring.

Brand imagery. Not a patient of the practice.
THE DETAIL IS THE DIFFERENCE.See the results ↓

Dr. Jason Emer MD · FAAD · FACS

Revision liposculpture for severe BBL irregularities: Dr. Emer corrected cellulite indentations, lumpiness and untreated areas across the arms, back and abdomen with liposuction, fat grafting and hernia repair, one day post-op.

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From the filmed session

Inside the treatment. With Dr. Emer.

Revision Liposculpture Day 1 Post-Op: Correcting BBL Irregularities | Dr. Jason Emer

Open on YouTube

What Dr. Emer did · CELESTA

Every procedure. In order.

  1. 01

    Revision liposuction CELESTA™

    Liposuction to the arms, upper back and abdomen to address untreated areas and irregularities left by previous surgeons, removing excess tissue and redefining contour.

    “I want us to show you just overall Her Arms Upper backs all treated and looking so much better”

    Dr. Emer, in the film

    See patient 240603 See patient 250648

  2. 02

    Cellulite indentation correction CELESTA™

    Smoothing of severe cellulite indentations and lumpiness on the buttocks caused by prior BBLs, using liposuction and fat grafting to even the surface.

    See patient 253101

  3. 03

    Fat grafting CELESTA™

    Strategic fat transfer to fill indentations and create smooth transitions across the buttocks and treated areas.

    “it was lightos suction with some fat grafting”

    Dr. Emer, in the film
  4. 04

    Abdominal contouring CELESTA™

    Liposuction and definition of the abdomen to correct indentations and irregularities from previous surgery, staged before future tummy tuck after childbearing.

    “one of the things that we did here was really to Define out her stomach because if you look she has tons of indentations irregularities”

    Dr. Emer, in the film
  5. 05

    Hernia repair

    Surgical repair of abdominal hernia identified during evaluation, performed concurrently with liposculpture.

    “she had this looseness and a hernia that we repaired”

    Dr. Emer, in the film
  6. 06

    Hyperbaric oxygen therapy RECODEX™

    Post-operative hyperbaric chamber sessions to accelerate healing and tissue recovery.

    “right now she is getting Hyperbaric massage IV therapies for healing”

    Dr. Emer, in the film
  7. 07

    Post-operative massage RECODEX™

    Manual lymphatic drainage and tissue massage to reduce swelling and optimize contour settling.

    “right now she is getting Hyperbaric massage IV therapies for healing”

    Dr. Emer, in the film
  8. 08

    IV therapy RECODEX™

    Intravenous nutrient and healing therapies administered post-operatively to support recovery.

    “right now she is getting Hyperbaric massage IV therapies for healing”

    Dr. Emer, in the film

Why patients fly in

What Dr. Emer does differently.

Correction over enlargement

The case was not about increasing size but repairing irregularities, cellulite indentations and untreated areas left by previous BBLs.

“her previous bbls had irregularities and it wasn't to increase her size it was to improve problem areas that weren't light bed before like her arms her back”

Extensive cardiac clearance

Every patient undergoes cardiac clearance with comprehensive heart examinations before surgery to ensure medical safety.

“I make everybody go for cardiac clearances including large examinations on the heart”

Willingness to say no

Dr. Emer declines cases when a procedure is unsafe or not in the patient's best interest, regardless of the patient's request.

“as a physician if I think something is unsafe for somebody I will never perform the procedure”

Meticulous aftercare protocol

Post-operative care includes hyperbaric oxygen therapy, manual massage and IV therapies to optimize healing and final result.

“we do a ton of after care so right now she is getting Hyperbaric massage IV therapies for healing”

Staged approach for future goals

Tummy tuck was deferred because the patient plans more children, prioritizing safe staging over immediate completion.

“she's going to have more kids so we're waiting to do any tummy tucks”

THE THINKING BEHIND THE TREATMENT

The story.
The decisions.
The details.

Follow Dr. Emer’s approach through the stages described in this case.

Back to the video ↗
  1. 01Before

    The starting point

    Previous BBLs left her with severe irregularities. Dr. Emer smoothed the cellulite, treated untreated areas, and repaired a hernia.

    The patient in this video did not come to Dr. Emer to increase her size. She came because previous BBLs left her with cellulite indentations, lumpiness across the buttocks, untreated arms and back, diastasis on her stomach, and a hernia that needed repair.

  2. 02The plan

    What Dr. Emer decided to do

    Revision body contouring addresses irregularities from previous surgeries with precision and extensive aftercare.

  3. 03The session

    In the room, in order

    Dr. Emer performed liposuction with fat grafting to smooth the buttocks, treat the arms and upper back, define the stomach, and repair the hernia. One day post-op, the smoothing is visible on camera, and the final result will settle over the following weeks as swelling resolves.

    • Extensive pre-operative clearance
    • Liposuction with fat grafting
    • Repair and define
    • Meticulous aftercare
  4. 04The result

    What changed

    She underwent extensive pre-operative testing, including cardiac clearance, and is receiving hyperbaric therapy, massage, and IV therapies for healing.

  5. 05What comes next

    Recovery and what to expect

    Every patient at Dr. Emer's practice undergoes extensive pre-operative testing, including cardiac clearance and large examinations on the heart. This patient was medically cleared before the procedure.

    Post-operatively, she is receiving hyperbaric therapy, massage, and IV therapies for healing. Dr. Emer's aftercare protocol is detailed and meticulous, designed to support recovery and optimize the outcome.

Explore the full treatment details +

Revision body contouring for complex cases / Patient story

She came for correction. Not enhancement.

Previous BBLs left her with severe irregularities. Dr. Emer smoothed the cellulite, treated untreated areas, and repaired a hernia.

The patient in this video did not come to Dr. Emer to increase her size. She came because previous BBLs left her with cellulite indentations, lumpiness across the buttocks, untreated arms and back, diastasis on her stomach, and a hernia that needed repair.

Dr. Emer performed liposuction with fat grafting to smooth the buttocks, treat the arms and upper back, define the stomach, and repair the hernia. One day post-op, the smoothing is visible on camera, and the final result will settle over the following weeks as swelling resolves.

She underwent extensive pre-operative testing, including cardiac clearance, and is receiving hyperbaric therapy, massage, and IV therapies for healing.

Why this patient came to Dr. Emer

The patient in this video did not come to Dr. Emer to increase her size. She came because previous BBLs left her with irregularities: cellulite indentations, lumpiness across the buttocks, untreated problem areas on her arms and back, diastasis on her stomach, and a hernia that needed repair.

She had been to numerous doctors who said no. Dr. Emer evaluated her case and determined he could improve the irregularities safely while respecting her goals. This was a revision case, not an enhancement case, and the focus was correction and smoothing.

What the procedure addressed

Dr. Emer performed liposuction with fat grafting to smooth the severe cellulite and indentations left by prior surgeries. The buttocks were evened out, the arms and upper back were treated, and the stomach was defined while repairing the hernia.

One day post-op, the patient is swollen, which is expected. The smoothing is visible on camera when comparing the treated side to the untreated side, and the final result will settle over the following weeks as swelling resolves.

How revision liposculpture works

Four stages. One outcome.

Revision body contouring addresses irregularities from previous surgeries with precision and extensive aftercare.

  1. 01

    Extensive pre-operative clearance

    Every patient undergoes cardiac clearance and large examinations on the heart to ensure medical safety before the procedure.

  2. 02

    Liposuction with fat grafting

    Irregularities are smoothed using liposuction, and fat grafting is placed to even out indentations and asymmetry.

  3. 03

    Repair and define

    Untreated areas like the arms, back, and stomach are addressed, and any hernias or diastasis are repaired during the same session.

  4. 04

    Meticulous aftercare

    Post-operatively, patients receive hyperbaric therapy, massage, and IV therapies to support healing and optimize the outcome.

The treatment, explained

What is revision liposculpture?

Also called revision liposuction, BBL revision, cellulite indentation correction, body contouring revision, fat grafting revision, secondary liposuction.

What it is
Revision liposculpture is the surgical correction of irregularities, indentations, asymmetry and untreated areas left by previous body contouring procedures. It combines liposuction to remove excess tissue, fat grafting to fill depressions and smooth transitions, and repair of anatomical issues such as hernias or diastasis. The goal is to restore smooth, natural contour where prior surgery failed.
How it works
Dr. Emer uses liposuction to address untreated or poorly treated areas such as the arms, back and abdomen, removing tissue that creates lumpiness or asymmetry. Fat grafting is placed into cellulite indentations and depressions to even the surface. Hernias and other structural issues are repaired during the same session. Post-operatively, patients receive hyperbaric oxygen therapy, manual lymphatic massage and IV nutrient therapies to accelerate healing and optimize the final contour. Swelling resolves over the following weeks as the result settles.
Who it is for
Revision liposculpture is for patients who have undergone previous body contouring surgery that left irregularities, cellulite indentations, lumpiness, untreated areas or asymmetry. Candidates must be medically cleared for surgery, including cardiac evaluation, and have realistic expectations about what revision can achieve. Dr. Emer evaluates every case individually and declines procedures that are unsafe or not in the patient's best interest.
Recovery
Swelling is expected and will resolve over the following weeks. Patients receive hyperbaric oxygen therapy, manual massage and IV therapies as part of the aftercare protocol. Specific recovery timelines and activity restrictions are determined at consultation based on the extent of revision performed.
When results show
Smoothing and correction are visible immediately post-operatively, as seen one day after surgery in this case. Final results settle as swelling resolves over the following weeks to months. The timeline depends on the areas treated and the extent of revision required.

Signature procedures

Only at Emer.

Peptides / biologic optimization

RECODEX™

Peptide and biologic protocols for recovery, body composition and longevity, with epigenetic testing. RECODEX™ peptides are available to purchase through the practice after consultation.

From Dr. Emer's Instagram

The work, as he shows it.

@jasonemermd @recodexsystem

Why Dr. Emer

Revision work is not a repeat.

It is correction: addressing what the first surgery left behind, with precision and extensive pre-operative clearance.

Dr. Emer pioneered high-definition body sculpting techniques that are now taught internationally. He has been performing liposuction for over 15 years, holds two fellowships in body contouring, and is board-certified in dermatology.

Patients come to him for revision cases when previous surgeries left irregularities: cellulite indentations, lumpiness, untreated areas, or asymmetry. He evaluates every case for safety and candidacy, and he does say no when a procedure is not appropriate.

  • MD, FAAD, FACS: board-certified dermatologist and cosmetic surgeon
  • Former Chief Resident in dermatology, Mount Sinai, New York
  • More than 10,000 patient encounters
  • Male facial sculpting longer than anyone in the United States
  • The highest filler volume on the West Coast
  • West Hollywood and New York
About Dr. Emer Schedule Consultation
EMER METHOD™×RECODEX™

Asked plainly, answered plainly

What patients ask before they book.

Can irregularities from previous BBLs be corrected?+

Yes. Dr. Emer corrects cellulite indentations, lumpiness and asymmetry left by prior BBLs using liposuction to smooth the surface and fat grafting to fill depressions. The case shown here demonstrates correction of severe irregularities one day post-op, with final results settling over the following weeks.

What pre-operative testing is required for revision liposculpture?+

Every patient undergoes cardiac clearance with comprehensive heart examinations before surgery to ensure medical safety. Dr. Emer's pre-operative protocols are extensive and designed to identify any risks before proceeding.

Does Dr. Emer perform every revision case that comes to him?+

No. Dr. Emer evaluates every case individually and declines procedures he believes are unsafe or not in the patient's best interest, regardless of the patient's request. Patient autonomy is respected, but safety is never compromised.

Can a hernia be repaired during the same procedure?+

Yes. In this case, Dr. Emer repaired an abdominal hernia during the same session as the revision liposculpture, addressing both the cosmetic irregularities and the structural issue in one surgery.

What is the recovery like after revision liposculpture?+

Swelling is expected and resolves over the following weeks. Dr. Emer's aftercare protocol includes hyperbaric oxygen therapy, manual lymphatic massage and IV nutrient therapies to accelerate healing and optimize the final result. Specific timelines are set at consultation.

Why was a tummy tuck not performed in this case?+

The patient plans to have more children, so Dr. Emer staged the procedures, performing the revision liposculpture and hernia repair now and deferring the tummy tuck until after childbearing is complete. This approach prioritizes safety and long-term results.

How soon are results visible after revision liposculpture?+

Smoothing and correction are visible immediately, as shown one day post-op in this case. Final results settle as swelling resolves over the following weeks to months, depending on the extent of revision performed.

What areas can be treated during revision liposculpture?+

Any area previously treated with liposuction or fat grafting can be revised. In this case, Dr. Emer treated the arms, upper back, abdomen and buttocks to correct irregularities and untreated areas left by previous surgeons.

Find out if revision fits your case.

A consultation with Dr. Emer covers your history, your goals, and whether revision liposculpture can correct what previous surgeries left behind.

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West Hollywood and New York City

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