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Concerned About Indentation and Lump 8mos Post-op from Tumescent Liposuction

asked 8 months ago by fitgurl24
Latest answer by Melanie D. Palm, MD
Question viewed 320 times
Tags: 8 months post-op, indentation, lumps, yo-yo dieting

I am concerned about the amount of fat I seem to have surrounding my navel, like a lump? and also a small indentation below my navel a little to the right. Also, the amounth of fat that is collecting in my lower abdomen seems to be increasing. I train for fitness shows and started 3wks post op but I was still 28% body fat, then got down to 16% for the show 10wks later and now Im up to about 21%. Could be my diet and training affecting the results? Is this normal?

8 answers to Concerned About Indentation and Lump 8mos Post-op from Tumescent Liposuction

+1

Irregularities following lipo of the abdomen

Surface irregularities can occur with liposuction, but are less likely with microcannula use. It appears that there is still a significant amount of fat around the navel, which is an area that must be specifically addressed during the procedure or the "donut" sign can occur. An area of excess fat removal can result in a lipotroph, or depression. I have corrected several of these cases performed by other physicians by using a combination of microcannula tumescent... more
Melanie D. Palm, MD

San Diego Dermatologic Surgeon
+1

Liposuction Results?

Thank you for the question pictures. Unfortunately, some irregularity/contour elevations and depressions are frequently seen after liposuction procedures. These irregularities may change with weight gain and loss. Treatment would involve contouring surgery with fine cannula liposuction and possible fat grafting. I hope this helps.
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Irregular abdomen after tumescent liposuction can be corrected.

Hi. I see exactly what you are talking about. If this is an old seroma (collection of fluid), then by now it is internal scar tissue, and very hard to do anything about. Hopefully, it is just some residual localized fat (this can be determined by a physical exam). Then this can be smoothed out with revision superficial micro-suction.
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Concerned About Indentation and Lump 8mos Post-op from Tumescent Liposuction

Based upon your photos I would recommend minor lipo on the elevated areas and possible fat grafts to the dents to try and alleviate these issues.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Awesome Flat Tummy

I am sure most everyone is jealous of your flat tummy. The fact that your body fat % fluctuates certainly accounts for the differences you are seeing. Regarding the slight indentation below your navel, I am sure whomever did your liposuction would be happy to fix that for you. It can be done "in the office" with only that spot and the surrounding area being numbed by local anesthesia. A small amont of fat will be removed from the surrounding area and put into the... more
T. Wayne Day, MD

Nashville Dermatologic Surgeon
+1

Irregular contours after liposuction

The abdomen is the hardest area to get reliable contours after liposuction. The small irregularities you have will likely persist and may, if they bother you, require a revision to try to smooth things out. Your surgeon should be willing to fix this for you.
Daniel Greenwald, MD

Tampa Plastic Surgeon
+1

Indenation post liposuction

Unfortunately it is not uncommon for people to get a small indentation after liposuction. This is definately a known risk of liposuction. Also, occasionally people have a little bit of fat around the belly button which is slightly more difficult to remove. I would go back to see your treating doctor. You can talk to them about doing a small "touch-up" in the area to help decrease the visibility of your issues. A small amount of fat can be removed from... more
Karyn Grossman, MD

Santa Monica Dermatologic Surgeon
+1

Liposuction deformity

It is possible this may represent a seroma. A sonogram will make the diagnosis, if so aspiration may be required. On the other hand it is possible it is a fat collection and will need a revision liposuction to that area. Discuss your concerns with your plastic surgeon. If it is fat this liposuction can be done under local anesthesia..
Samir Shureih, MD

Baltimore Plastic Surgeon

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