Hello romags, thank you for your question regarding how can you fix fibrosis 2 years post arm lipo. Thank you for your history and picture. Fibrosis is a fancy word for scar tissue. Another word for fibrosis is cicatrix. Fibrosis is a common known potential complication of any surgery, especially arm liposuction. Scar tissue is believed to "mature" at about 2 years, that means the scar tissue will not change that much. Current suggested treatment for your post-op arm liposuction fibrosis would be deep tissue and vibration massage. If you have localized area of scar tissue, you may consider injections of Kenalog and 5 fluro-uracil. However, steroid injections run the risk of fat atrophy and further indentations. If these "conservative" measures do not work to your satisfaction, you may consider revision liposuction with the VASER. The VASER uses ultra-sonic energy to break down post-operative liposuction scar tissue. ALternatively, you may want to convert to more muscular arms and undergo a procedure called VASER Hi-Def arm liposuction. This procedure removes more fat from your arms and makes your arms more muscular. Thank you for your question regarding how can you fix fibrosis 2 years post arm lipo. Good Luck. If you have any more questions regarding VASER liposuction or reduction surgery, contact an experienced plastic surgeon. Since VASER HI DEF liposuction is a specialized procedure, please seek an experienced, board certified plastic surgeon with significant experience in VASER HI DEF liposuction. Do your research. Look at their website. Look at their reviews on RealSelf. If you cannot find an experienced, VASER HI DEF 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.)