After Complications of Sagging Following Apgujeong Liposuction, What Options Are Available? How Far Can Injections Help?

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Hello,

I am Hyunju Sung, director of Cheongdam OK Clinic,

Apgujeong liposuction.

▶ Regular member of the Korean Association of Cosmetic Surgery (KACS)
▶ Regular member of the Korean Society for the Study of Obesity (KSSO)
▶ Regular member of the Korean Association for the Study of Obesity and Aesthetic Medicine (KAAM)
▶ Regular member of the Korean Society of Liposuction Surgery (KSSL)
▶ Regular member of the Korean Society for Aesthetic Surgery (KSAS)

After liposuction, the line may look more defined, but some people feel that the skin has become loose

or that elasticity has decreased.

Rather than immediately calling these changes a side effect,

it is important to look at both the treatment area and the condition of the skin.

Sagging after liposuction

When volume decreases during the suction process, the structure that had been supporting it changes,

and the surface may not be able to follow along.

In particular, when skin elasticity is low or the removal area was extensive,

sagging may appear more noticeable during recovery.

At this stage, what matters is not deciding, “Do I need surgery again?”

but rather,

whether the current condition is still recovering or whether it needs support.

The available options may vary depending on the degree and pattern of sagging.

How far can injections help?

Not all sagging after liposuction has the same cause.

(Left) Before treatment, (Right) 1 day after treatment

If the main issue is a decrease in the skin’s own elasticity, there are cases where

injection-based treatment can provide some support.

Rather than immediately pulling up loose skin,

this approach is closer to helping improve the tissue environment so that elasticity can recover.

Sagging after liposuction

However, the range that can be addressed with injections is limited.

If there is excessive skin laxity or clearly structural sagging,

the expected results may be more limited.

That is why, during consultation, rather than simply concluding “possible” or “impossible,”

it is important to receive a specific explanation of how much improvement can realistically be targeted.

Selection criteria that change depending on the condition after fat removal

When evaluating sagging after liposuction, it is important not to look only at the visible looseness on the surface,

but also at the internal condition.

The approach changes depending on the distribution of residual fat, the degree of fibrosis, and the thickness and elasticity of the skin.

Injection-based treatment is a relatively low-burden option, but it is not a solution suitable for every case.

If applied too aggressively, it may actually lead to results that fall short of expectations.

Therefore, an accurate diagnosis of the current condition and determining whether it is better to wait for recovery

or whether this is the right time for support

must come first.

The more accurate this judgment is, the higher the satisfaction with the next choice tends to be.

After a sagging side effect, setting realistic expectations is important

If sagging is felt after liposuction, there is no need to immediately decide on an additional procedure.

In some cases, the area settles naturally during recovery, and in others, improvement can be felt with management alone.

There is certainly a range that can be addressed with injections,

but its limits are equally clear.

What matters is reviewing the available options step by step based on the current condition.

Rather than having excessive expectations, it is necessary to judge what the least burdensome and most realistic method is in the current situation.

I hope this article helps those who are concerned about sagging after liposuction

to organize the range in which injection-based treatment is possible and the criteria for choosing it.

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