Dealing with fibrosis after BBL - what to do? (photos)

Hi, thank you for sharing your question. Based on your photos and your description of weight loss after liposuction, you appear to have skin laxity which may be amenable to a full or mini tummy tuck. Your surgeon will be able to guide you to your best option.

Fibrosis is a difficult problem after liposuction and I'm sorry to hear you are having to deal with it. If the extra skin is now the problem, a procedure to remove some amount of skin will be your best bet. There are several options so consulting with a plastic surgeon will best help figure out which is right for you.

Dear A636,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Based upon the excellently posted photos it appear over liposuction in inferior abdomen. I might recommend S.A.F.E. lipo revision to release fibrosis with possible drain placed. Other option full "Skin Only" TT. In person or virtual consultation required.

The word fibrosis is often used as some unfortunate thing that happens to some people. It is not.

Your results are direct reflection of your candidacy for the procedure in combination to how the procedure was performed.

You were not a great candidate for Liposuction because you have skin laxity. You didn’t include your age but I’m guessing that the skin laxity is related to age related loss of skin elasticity. patients in their 50s tend to not get great Lipo results because they are not good candidates for this procedure.

I don’t know what your age is but you have skin that lacks elasticity.

Patients who have any skin laxity I’m not candidates for etching or high definition Liposuction. It does not look natural and it creates disfigurement.

Your results represent excessive fat removal that’s uneven on a patient who probably shouldn’t have had liposuction.

Is your provider an experienced board-certified plastic surgeon?

I’m questioning why someone would be reluctant to do a tummy tuck on a patient who has skin laxity?

For us to make an accurate assessment on the outcome of a procedure we really need to see proper before and after pictures. If you don’t have before and after pictures ask your surgeon just send the ones that they took. Regardless Liposuction is a permanent and more or less irreversible procedure. The problem is that fat was removed excessively and now you are lacking fat and have an uneven fat distribution. you also have scar tissue but scar tissue isn’t the primary problem it is the inappropriate removal of fat that’s the problem.

It isn’t the fibrosis it is the lack of fat from overly aggressive Liposuction purposely done in an uneven fashion to create body definition which doesn’t work on people with loose skin.

It’s possible that converting this to a full-time attack will look better at least that procedure will treat a condition you actually have.

I’m not convinced you were a candidate for even well done Liposuction in the first place but you did not include before pictures.

Replacing the fat removed is an option but extremely tedious and technically very difficult to do.

For this one converting it to a dummy tag is an option otherwise you’ll probably have to except the results the way they were. Recognize that your surgeon is responsible for the outcome of the procedure and you are responsible for choosing that surgeon.

Best,

Mats Hagstrom MD