Does Traditional Liposuction Always Leave Fibrous Scar Tissue and Bruising?

Tumescent liposuction is a controlled micro-traumatic event to permanently remove fat pads by your experienced core board-certified aesthetic physician. Fibrous changes can be expected and is normal part of inflammatory process after tumescent liposuction that can take up to a year for the scar tissue to remodel. The more aggressive the tumescent liposuction, the greater the risk of prolonged fibrous inflammatory changes. We typically perform Vaser Shape (external Ultrasound) to facilitate resolution of fibrous inflammatory changes associated with liposuction. To minimize bruising, one should consider Smartlipo Triplex which utilizes combination of 3 different wavelengths to significantly minimize post-op bruising and to maximize skin tightening.

Hello and thank you for your question. Regarding bruising 8 years post op, I’m not sure that there’s a connection to your surgery. Careful evaluation of the actual problem, deciding whether it’s been overresected, underresected, or a combination, or whether it’s loose skin requiring surgical excision. I’m not sure laser therapy alone offers any real improvement. You should see a plastic surgeon so they can review your options.

All liposuction will leave scar tissue and bruising to some degree. There is a tradeoff between a more aggressive approach with better results and a less aggressive approach with worse results and a lower degree of scarring. Normally, the lumpiness will smooth out significantly nine months to a year after surgery. After this amount of time, as with your case, the patient should meet with their board certified plastic surgeon to discuss possible revision surgeries such as fat grafting or correction liposuction.


Jaime Perez, MD
Liposuction Specialist
Plastic Surgery Center of Tampa