Thank you for your question. I’m sorry that your are having concerns and discomfort. First, an in person examination is really needed to definitively know what is going on. However, based on your pictures and description, you lipo site lumps could be from a number of things. One could be uneven liposuction to those areas. This can sometimes be challenging to fix after the fact but can me made better with a revision surgery. Second, it could be even Liposuction with abnormal scarring. After these cases, it is important to have the appropriate post operative therapy such as lymphatic drainage/massage to ensure and even result and prevent scarring. At five months, it is a little late to have this treatment but you could consult with a trained therapist and see if they think there may be some improvement. Lastly, the firm areas in the buttocks are likely areas of dat necrosis or oil cysts. This is caused by areas of large fat injection that do not have enough surrounding healthy tissue to supply the graft so the fat dies, breaks down and forms a collection of oil. This can improve over time. Areas of fat necrosis can be improved with revisional surgery. I hope this helps.
