Is bruising at tumescent liposuction/fat transfer sites normal 3 months after surgery?

Question

This July, I got liposuction in my abdomen and flanks and had the fat transferred to my buttocks. I noticed that I had these small reddish/purplish spots (not sure if they're bruises or not) under the skin where the incisions were made, but didn't think it would be a big deal since I thought they would go away as the scars healed. Now it's October and they are still there. I'm worried that these marks are permanent. Is there anything that can be done about this or does it just take time?

Kenneth Hughes, MD · Answer

Hello. Great question. I am sorry for your post op difficulties. Images and/or a personal examination are needed to properly address your concerns. Keep following your surgeon's post op instructions.

Jason Emer, MD · Answer

This is difficult to answer without pictures. These may improve some with time. However, dark marks can be improved with a combination of lasers, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer

Connie Hiers, MD, FACS · Answer

I would suggest asking your surgeon to check the areas. You are still early in your healing phase, but please do not tan the areas.

Windell C. Davis-Boutte, MD (license suspended) · Answer

Posting a photo of the area of concern would have been very helpful. That being said, if the area is actually still red, warm to touch, tender or draining, that does cause heightened concern. This could represent an infection. If the area is dark simply due to the trauma to the skin that can commonly occur with liposuction, then this pigmentation could be normal. I recommend you see your surgeon for evaluation and treatment as soon as possible. You would not want an infection to get worse and spread.
Best of luck,
Windell Davis Boutte’, MD

Is bruising at tumescent liposuction/fat transfer sites normal 3 months after surgery?

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