Vertical crease in abdomen after lipo and Renuvion (Photo)

Question

I wear my faja and abdominal board 23/7 and recently sized down my faja. Recently, I noticed a deep vertical crease in my abdomen. This was a revision lipo after TT, lipo, and BBL. I recently added foams under my board and tape to separate the skin on either side of the crease like a butterfly bandage in reverse. They helped somewhat but did not resolve the problem. Will this resolve over time after more healing the full Renuvion results kick in? Any suggestions?

J. Timothy Katzen, MD, FACS · Answer

Hello, and thank you for your question regarding a vertical crease in the abdomen after lipo and Renuvion. Thank you for your history and your pictures.  It would be helpful to know exactly what areas were targeted during your revision liposuction.  Did your plastic surgeon do liposuction of your linea alba or midline?  However, at this point, the compression garment, or faja, is making this condition WORSE.  The faja is pushing your abdominal skin together and causing it to fold inwards.  As you’ve experienced, the “reverse butterfly bandages” and the added foam will not work.  Therefore, most plastic surgeons would suggest you stop wearing the faja and undergo aggressive lymphatic massage and scar massage.  It is impossible to tell when or if this will resolve with time.  However, the best thing to do right now is to discontinue the faja and sign up for cupping and lymphatic massage.  If this does not correct to your satisfaction, you may need a surgical revision.  If you have any more questions regarding liposuction or scar reduction surgery, contact an experienced plastic surgeon.  Since liposuction is a specialized procedure, please seek an experienced, board-certified plastic surgeon with significant experience in liposuction.   Do your research.   Look at their website.  Look at their reviews on RealSelf.  If you cannot find an experienced liposuction plastic surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS, FASMBS. ( Plastic Surgeon, President of the American Society of Bariatric 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, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

Mustafa Aydinol, MD · Answer

I would suggest several things
1- Post liposuction skin massage 2-3 times a week2- Kinesio taping from medial to lateral to make the crease open.3- Do not wear your corsets too tight, choose a size that is just right. Too much tightness is your enemy.4- Keep wearing your abdominal board

Vertical crease in abdomen after lipo and Renuvion (Photo)

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