6 months post lipo 30 - painful knot tender to touch. Will this resolve on its own?

Question

On my left flank I felt maybe like a knot under the skin I have been trying to rub it out. But it is very sensitive to touch almost a burning sensation. There is no skin discoloration or anything you can see extra orally. I am just wondering if it will resolve on it's own or if I should be concerned

Stephen T. Greenberg, MD, FACS · Answer

Thank you for your question.  It could be a bit of scar tissue that has built up.  You can possibly try some lymphatic massage to help break it down.  Each Surgeon will have their own protocol on what to do in these situations.  Sometimes by injecting cortisone into the area it can help break it down.  I would suggest speaking with your Surgeon and following their recommendation.  Best of luck to you.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding a painful knot 6 months after liposuction. This painful knot is uncommon. It sounds like hypertrophic or keloid scarring. I understand that the knot is filled underneath the skin, but it sounds like excessive scarring to me. I would suggest you follow up with your plastic surgeon; in terms of treatment, there are multiple modalities. Treatment for liposuction areas of hypertrophic scarring includes soft tissue massage, deep tissue massage, vibration massage injection of steroid, 5fu, microneedling, and even surgical scar disruption. All of these modalities need to be explored with your plastic surgeon. I hope this helps answer your question. 
Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Andre P. Marshall, MD · Answer

Hi cjade0803, 
Your body goes through many changes after liposuction. The healing process continues well over a year after your procedure. Chronic pain can be a side effect of liposuction but a proper diagnosis of the knot you feel under your skin can only be done by seeing your prior surgeon or another board certified plastic surgeon. Oftentimes scar tissue forms after liposuction and this is treated with manual massages indefinitely. Scar tissue is often responsive to frequent massage therapy. Make sure you see a licensed provider for a formal evaluation and possible diagnosis. Best of luck in your journey. 
Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Zoran Potparic, MD · Answer

Many causes may be the reason for this lump. It is usually deep scar, possibly with small nerve endings entrapped within it (neuroma??); also fat necrosis may present that way for some time. Injection of corticosteroid (Kenalog) may be considered. This should be communicated with your surgeon. Good luck.

Daniel Barrett, MD · Answer

Dear cytorie,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Heather Vande Ven, DO · Answer

If you have a painful knot or lump that has developed six months after liposuction, it's important to consult with a medical professional, such as the surgeon who performed the liposuction or your primary care physician. They will be able to provide you with the most accurate and personalized advice based on your specific situation.In some cases, lumps or bumps can develop after liposuction, and they may be due to a variety of factors, including scar tissue, residual fat, or inflammation. Some of these issues may resolve on their own over time, but it's important to get a professional evaluation to rule out any serious complications.Your doctor may recommend various treatments or interventions depending on the cause and severity of the lump. This could include massage, compression garments, or in some cases, a minor procedure to address the issue.Never hesitate to reach out to a medical professional when you experience unusual symptoms or discomfort following a surgical procedure, as they are best equipped to assess and address your specific concerns.

Connie Hiers, MD, FACS · Answer

I would suggest going back to your surgeon and being examined. You may have a small collection of fluid that needs to be drained.

Camille Cash, MD · Answer

An evaluation is needed to determine what may be causing your discomfort.  I encourage you to visit with your surgeon for an examination.  She/He is most familiar with the details of your surgery and how you've been progressing through recovery.

Mats Hagstrom, MD (license on probation) · Answer

Your description really doesn’t give us enough information to give you any type of meaningful answer. I suggest you follow up with your provider.
Best,
Mats Hagstrom MD

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!At 6 months after surgery, there still will be a degree of residual inflammation / swelling which may be responsible for the localized firmness and hypersensitivity you are experiencing. It takes 12-18 months for all swelling to abate. However, it may also represent localized soft tissue fibrosis / scarring. 
If small, the phenomenon may resolve spontaneously. If large, modalities such as ultrasound or radio frequency treatments may be of value.Follow up with your plastic surgeon to determine if treatments are recommended.Best wishes...

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