Will this texture smooth over time?

Question

I have noticed lots of lumps and bumps. My stomach feels smooth to the touch I don’t feel it but when lighting hits right the texture is lumpy and bumpy. I’m 10 months post op. Had lipo in my upper, lower, waist, and flanks.

Daniel Barrett, MD · Answer

Dear drehhuh,
I understand your concern. Since you are 10 months postop, your results are most likely final and it won't change much. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Emmanuel Mallol Cotes, MD · Answer

Thanks so much for your question,

In most cases, lumps and bumps after liposuction will smooth out as your body heals. However, it's essential to maintain open communication with your surgeon and follow all post-operative care instructions to support the best possible outcome.

If you notice that lumps and bumps persist beyond the typical healing period, or if they seem to be worsening, it's important to consult your surgeon. They can assess whether additional treatment, such as steroid injections, ultrasound therapy, or revision liposuction, might be needed.

Sincerely, 
Dr. Emmanuel Mallol

Igor Burko, MD · Answer

Hello, my name is Dr Igor Burko and I am a Plastic Surgeon at SY Aesthetics in NYC. Based on solely photos, it is difficult to say what is causing your problem. It can be contour irregularities from liposuction itself or underlying fibrosis during the healing and recovery. It is best to see your plastic surgeon for a follow-up so that a physical exam can be performed.

J. Timothy Katzen, MD, FACS · Answer

Hello drehhuh,

Thank you for your question regarding the texture of your skin post-liposuction. At ten months post-op, it is likely that what you are experiencing are your final results.

Lumps and bumps are common side effects of liposuction. Here are a few points to consider:

Scar Tissue and Lumps: The lumps you feel are often due to scar tissue formation and residual fat deposits. This is a normal part of the healing process.

Massage Therapy: Massaging the affected areas can help break up the scar tissue and reduce the lumps. This can improve the texture of your skin over time. Consider consulting a professional who specializes in post-operative massage therapy.

Consistency: Regular massage and possibly lymphatic drainage massage can help, but it's important to be consistent. Results may not be immediate, and it can take some time to see improvements.

Permanent Lumps: Unfortunately, some lumps may be permanent. If the lumps are significant or bothersome, you might consider discussing further options with your plastic surgeon. Sometimes, minor revisions can help improve the contour.

In conclusion, while some improvement might be possible with massage, at ten months post-op, the texture you see is likely close to your final result. Discussing your concerns with your plastic surgeon can provide more personalized advice and potential solutions.

Good luck, and I hope this helps to answer your question regarding post-liposuction texture.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic Surgeon

Chad Deal, MD · Answer

Unfortunately, contour irregularities are the number one complication of liposuction surgery. They can form for various reasons such as uneven Lipo, small fluid collections known as seromas, and firmer nodules that may be scar tissue from blood that couldn’t escape or heating base technologies. Aggressive massage and time will help, but in some cases, they may not resolve. Singulair as a medication may potentially help. For the more noticeable nodules direct injection of steroids or 5-fu can melt them

Camille Cash, MD · Answer

At ten months post op you are looking at your final results.  Unfortunately sometimes contour irregularities can occur after liposuction.  If the contours concern you I encourage you to visit with a board certified plastic surgeon to discuss options to improve it.

Will this texture smooth over time?

Answers (6)

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