4 months post op lipo of the abdomen and I have these indentations. What can I do to help it go away? Is it permanent? (Photo)

Unfortunately minor contour irregularities are the most common post-liposuction complication. In general they result from either uneven fat removal during the liposuction process or scarring/fibrosis of the remaining fat during healing. I would recommend aggressive lymphatic massage to help break up any scar tissue and fibrosis that may be forming and contributing to this appearance. Unfortunately, if they do not improve from massage, they likely will be permanent to some degree and may require revision liposuction to help smooth out these areas. I recommend meeting with your plastic surgeon to discuss your concerns and to get their opinion on how to manage this. Best of luck on your healing journey!

Pending a formal evaluation, you may be a good candidate for a Revision Liposuction. You need a formal evaluation by an expert in body shaping and contouring to determine what is best.

The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face. Cellulite should also be treated with a combination of QWO or Cellfina, subcision, and/or fillers such as Bellafill, Renuva synthetic fat, or Sculptra. If skin is very loose before surgery, then it will need to be removed: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin. Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

Hello, thank you for your question and photos. It is hard to say if these indentations will be permanent or not but to help improve it I would recommend massage. Massage the areas that were treated by liposuction and help smooth out the areas. Also be sure to not wear things that could be to tight and causing indentations to the area while you heal.