I had tumescent liposuction of my saddlebag area in September of 2008. I just had my 6 month recall and discussed a touch up with my PS. I am 5'6", 128 lbs, and a size 4. I was the same size and weight prior to surgery. Although my saddlebags were removed, the results are a bit lumpy. One lump is about the size of a half-dollar, others are a bit smaller, maybe quarter-sized. They don't protrude much, just look bad in certain lighting and from certain angles. Since I was slim before surgery, there is not much fat left in the area. My left thigh still has some dull aching pain on occasion since the surgery.
My PS recommended using a rasp-type cannula that he described as looking like a cheese grater to go back in and smooth the lumps. He said he would use two of the adits perpendiular to each other to cross tunnel back through. He did, however, mention that a complication of this that has been reported (though he has not seen) is damage to the skin vascularity.
I am wondering what other plastic surgeons think of the safety and effectiveness of this. Should I just leave things alone and live with the lumps? I am worried that there's not much fat left to keep the cannula away from the skin, and also about the effectiveness of tunneling back through an area that probably has a lot of scar tissue from prior lipo.
Has anyone seen other methods or options for dealing with lipotrops/liponots after surgery? Could the Accent work? Any advice to help me in making this decision would be appreciated.