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I Have Two Hard Lumps on my Abdomen 7 Weeks After Lipo - What Can I Do to Minimize Them and is This Normal?

i had liposuction on my stomach 7 week ago and my skin has 2 hard lumps that give my abs a wavy appearance .my surgeon told me i have thin skin and that one of the lumps look like its developing into scar tissue. he recomended lymphatic drainage massage. is this normal and will it go away

Doctor Answers 15

Lumps After Liposuction?

This is normal in al likelihood and will go away.  You can massage them.  Your doctor could try dilute steroid injections. Ultrasound may help.  Time is the best cure.  Massage, with time, I suggest for another couple of months.  See you surgeon for support and help.  Good luck

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PHOTO: Lumps after Lipo on abdomen

AT 7 weeks, you have just completed the proliferative phase of wound healing and firmness and irregularities are not uncommon. Massage, ultrasound and MLD may help expedite scar maturation. I have found that these are often due to folds in improper compression garment wear or waistbands. IF this is the case you may be better off avoiding all compression to the area.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 54 reviews

Lumps after belly liposuction

I agree with the other surgeons who have given their thoughts on this problem.  I would advise you to perform aggressive massage three times daily to these areas and continue to wear a binder or girdle throughout the day.  Often these "lumps" or contour abnormalities will go away or get considerably smaller over time.  Continue to follow up with your surgeon because the "final" results after liposuction take awhile (3-6 months) and you may still undergo considerable changes and may eventually end up without any problems.

That said, if you continue to have these irregular lumps after waiting and massaging, then those areas are more likely to stay around.  Consult with a plastic surgeon about ways to treat those areas that do not completely resolve.  Often, additional "touch-up" liposuction or fat grafting to depressed areas may be necessary to improve the results.

Hope this helps

Erez Sternberg, MD
Jacksonville Plastic Surgeon
5.0 out of 5 stars 21 reviews

Two lumps from liposcution

The two lumps you have may be fat necrosis, or seroma flud, to name a few things.  You may be better off massaging the area and giving it time to heal. Follow closely with your surgeon.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Liposuction lumps

These will often resolve with massaging and time.  I would expect that they would be consideraly softer in 3 to 4 months.

Pramit Malhotra, MD
Ann Arbor Plastic Surgeon
4.5 out of 5 stars 38 reviews

I Have Two Hard Lumps on my Abdomen 7 Weeks After Lipo - What Can I Do to Minimize Them and is This Normal?

Massage, massage, more massage. Otherwise allow healing for 3 months than have a touch up. From MIami Dr. Darryl J. Blinski

2 months after liposuction, two lumps on the abdomen

Sometimes one can have some hardness around the belly button after liposuction. This is a more fibrous area and can have persistent tissue inflammation. Massage is a good idea. One statement that concerns me is "...my surgeon told me i have thin skin and that one of the lumps look like its developing into scar tissue". It sounds that the liposuction might've been too superficial with injury of the blood supply under the skin resulting in abnormal scarring. If this is the case, it might be harder to correct. At this time I would consider massage and not wearing tight clothing which can lead to creasing in this area.

Need to rule out seromas after liposuction.

Hi.

I would suggest a sonogram as soon as possible . If you have a seroma (fluid collection), it needs to be aspirated promptly. Time is important because, ignored seromas eventually become permanent scar tissue.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Massage or endermologie

Areas can be lumpy after liposuction for months after surgery.  After 1 month, you can massage the ares.  Endermologie can also be used.

Not Uncommon to Have Lumps & Bumps Following Liposuction

It’s not uncommon for patients to have lumps and bumps following liposuction. Contour irregularities may have a variety of potential causes. These may include differential swelling, fat necrosis, hematomas, and seromas. They are usually transient and respond to conservative management with compression garments and massage. Rarely, aspiration is necessary when hematomas and seromas are present. In most cases, these problems have no effect on the long term results of liposuction.

Rarely, revisional liposuction is necessary but this shouldn’t be undertaken for at least six months in most cases. If you’re concerned about residual lumps and bumps following liposuction, it’s important to consult your surgeon. Your surgeon should be able to formulate an appropriate treatment plan for this problem. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.