Bumpy skin 9 months after liposuction - What is it? (photos)

Question

I got lipo on my stomach last November. I have this bumpy skin on the middle of my stomach.. the second picture you can see it more when I suck in. What is this?

Jason Emer, MD · Answer

this needs a consultation and likely a revision sometimes revision need tummy tucks or fat grafting because of scar tissue issues.  I suggest seeing an expert. Best, Dr. Emer.

Daniel Barrett, MD · Answer

Dear pardeepkaur,
I would have to examine you but it appears that this is a contour irregularity after liposuction. This happens often when areas the undergo liposuction are not feathered appropriately. The good news is that it can be fixed and I have done so with good results before. While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

Your liposuction results are a direct reflection of how the procedure was performed. Fat was removed in an uneven manner leaving you with an uneven fat distribution.

Collecting poorly done Liposuction is difficult but some improvements may be possible.

Treatment options typically come down to revision Liposuction, fat transfer and for some people converting the procedure to a skin tightening procedure like a full tummy tuck.  The last option is only appropriate for those who have skin laxity and would benefit from having a tummy tuck in the first place.

You may be in that category.

Delivering quality consistent Liposuction results is much more difficult than people believe.

I cannot emphasize enough the importance of vetting plastic surgeons thoroughly but having multiple in person consultations and during consultations asking each provider to show all of their before and after pictures for the procedure and area involved.  and experienced provider should have no difficulty showing 50+ sets of before and after pictures for that area or that procedure.  A highly experienced provider should have several hundred and the most experienced will have thousands.

Liposuction is a permanent and in many ways irreversible procedure.

There are no non-surgical treatments that can restore an uneven fat distribution once it’s been created through Liposuction.

I took a peek at your previous posts.

The primary reason that liposuction of your chin and neck failed to deliver the results you’re hoping for is related to the size and shape of your mandible in relationship to your Maxilla.

When the mandible lacks forward projection the underlying platysma muscle drapes the neck in the more oblique fashion creating a double chin.  The primary problem is not related to fat distribution but is based on bone structure.

Liposuction often gives very nice partial improvements sometimes they can be impressive. still, the great majority of patients seeking chin and neck Liposuction have this fundamental facial skeletal imbalance.

I suggest you follow up with your provider. He or she may not be the correct person to do the revision work since they have not mastered primary Liposuction yet.

To find someone with sufficient skill to do revision work I suggest scheduling multiple in person consultations in your area.

Look for providers who have the most liposuction and fat transfer experience.

Collecting the outcomes of poorly done Liposuction is far more difficult than primary Liposuction.

Partial improvements are typically the best patients can hope for and sometimes it requires several rounds of revision work. This is especially true when fat transfer is done to correct for previous Liposuction work.

Best,

Mats Hagstrom MD

Jonathan Cook, MD - Account Suspended · Answer

What you are looking at is a "contour irregularity," which can result from uneven aspiration of fat during liposuction. This causes divots, depressions, and a wavy appearance of the skin. There could also be a component of "internal scarring," which is caused by surgical trauma or the application of internal energy during liposuction. Internal scarring causes skin tethering, tightness, or changes with position. These deformities can be corrected through secondary liposuction, with possible fat grafting.

Robert T. Buchanan, MD (retired) · Answer

It is hard to tell much from your pictures, but it appears that you still have a lot of excess fat on your abdomen and excess skin on the lower abdomen. If this is true, then there could be a couple of problems. You appear to have residual fat from an incomplete liposuction that could be corrected with further liposuction. You also, perhaps, may have enough excess skin that you may have been a better candidate for an abdominoplasty than liposuction alone. You may, therefore, need an abdominoplasty with liposuction. To determine what you need to do you need to see an experienced plastic surgeon who is an expert in both liposuction and abdominoplasty.

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