What can I do to correct hyperpigmentation and Indentations from liposuction scars? 11 months post op (photos)

Hi Jojooooo. Thank your for your question regarding how to fix indentations left from liposuction and how to fix skin hyperpigmentation after liposuction. Indentations or uneven contours after liposuction are possible complications that can occur due to uneven fat removal or insufficient skin tightening. Similarly, hyperpigmentation (darkening of the skin) is a common side effect of liposuction. Here are some possible solutions to these issues:
Consult with a board-certified plastic surgeon: The first step is to seek the opinion of an experienced plastic surgeon who can assess the extent of the indentation or hyperpigmentation and suggest the appropriate treatment options.
Revision liposuction: If the indentation is small, your plastic surgeon may perform a revision liposuction procedure to remove additional fat from the surrounding areas and redistribute it to the indented area.
Fat transfer: For larger indentations, fat transfer can be performed to add volume to the depressed area. This procedure involves removing fat from another area of the body (such as the abdomen or thighs) and injecting it into the indented area.
Dermabrasion: Dermabrasion can be used to treat hyperpigmentation by removing the top layer of skin that is discolored. This is a minimally invasive procedure that can help even out the skin tone and texture.
Chemical peels: Chemical peels are another option for treating hyperpigmentation. This involves applying a chemical solution to the skin that causes the top layer to peel off, revealing new, unblemished skin underneath.
Topical creams: There are a variety of topical creams and ointments available that can help reduce hyperpigmentation. These products typically contain ingredients such as hydroquinone, retinoids, or kojic acid, which can help lighten the skin.
It's important to note that the effectiveness of these treatments will vary depending on the severity of the indentation or hyperpigmentation, as well as individual factors such as skin type and overall health. It's important to discuss all treatment options with a qualified plastic surgeon before making a decision. Thank you for your interesting questions. I hope i have answered your questions regarding how to fix indentations left from liposuction and how to fix skin hyperpigmentation after liposuction.

Sincerely, Dr. Katzen

For contour irregularities you can consider fat grafting to the area. Hyperpigmented areas may benefit from lasers or you can consider scar revision. Speak with your surgeon to learn more about the options.

Hyperpigmentation and indentations from liposuction scars can be treated using a combination of medical and cosmetic approaches. Here are a few potential options:
1.) Topical Treatments for Hyperpigmentation:
a.) Hydroquinone: This is a commonly used topical agent for lightening dark spots and hyperpigmentation.
b.) Vitamin C: Applying a vitamin C serum can help brighten the skin and reduce the appearance of dark spots.
c.) Retinoids: These can promote cell turnover, which might help with pigmentation issues over time.
2.) Chemical Peels: Chemical peels involve applying a solution to the skin, which causes the outer layer to peel off, revealing smoother and more even-toned skin underneath. They can be effective for treating hyperpigmentation.
3.) Microdermabrasion and Dermabrasion: These procedures involve removing the outer layer of skin to encourage new skin growth and improve the appearance of scars and hyperpigmentation.
4.) Laser Treatments: Fractional laser treatments and intense pulsed light (IPL) therapy can target areas of hyperpigmentation and promote collagen production to improve the texture of the skin.
5.) Fillers or Fat Transfer: Dermal fillers or fat transfer procedures can help address indentations by adding volume to the affected areas. Consult a skilled practitioner to determine the most suitable option for your specific situation.
6.) Microneedling: Microneedling involves creating controlled micro-injuries in the skin, which stimulates collagen production and can improve the appearance of scars and texture irregularities.
7.) Scar Massage and Silicone Sheets: Massaging the scar tissue and using silicone sheets may help improve the texture and appearance of scars over time.
8.) Consultation with a Dermatologist or Plastic Surgeon: It's important to consult with a medical professional who specializes in skin care or cosmetic procedures. They can assess your specific situation and recommend a personalized treatment plan.