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I suggest RF treatment and shock therapy this will really help. Massage is also useful. Best, Dr. Emer.
Nodules/lumps are the most common side effect of Vanquish, but can be easily prevented and treated. BLT Cellutone (made by the same company as Vanquish) is a shock therapy treatment that can help to break up these nodules. Conducting Cellutone immediately after a Vanquish treatment can also dramatically reduce the formation of nodules and can even enhance the results of the Vanquish treatment.
I would try using a Zimmer Z wave for this. This tends to break them up. It is caused by inflammation of the fat at the time of treatment. There might be some scarring now but the Zimmer might help.
painful knots after vanquish is usually caused by fat necrosis. This is treatable with aggressive massage. We also use cellutome made be BTL ( same company that makes vanquish ) which helps break up the knots.