Depression on Hip Area After Liposculpture?

I am 12 weeks after the procedure and now I'm concerned about the two "holes" or depressions on my pelvic-upper hip area. Is that normal? What can I do? Did the surgeon suctioned in more fat from that area?

Doctor Answers 10

Depression on hip area after lipo

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If you see "holes", then probably the area could have been over suctioned.  It would be best to speak to your plastic surgeon so that he can give you possible solutions.  You may need a revision, along with some fat grafting to the area

Costa Rica Plastic Surgeon

Depression on Hip Area After Liposculpture?

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-- Hello dear, thanks for your question and provided information as well.. This is the surgical procedure that revolutionized cosmetic surgery becoming one of the most performed cosmetic procedures. Subcutaneous tissue or fat is removed in order to contour the body in a way that is harmonious and pleasing to the senses. It can be performed in almost all regions of the body such as the neck, chin, abdomen, back, buttocks, thighs, arms and ankles. Usually done through a small incision in the skin through which a cannula connected to a vacuum is applied, it can be performed alone or in combination with other procedures. After liposuction your body is going to be really swollen for at least 2 to 4 months after your surgery. It is important for you to wear your compression garment for at least 6 months, the first 3 months 24/7 and then the last 3 months at least 12 hours per day for your body get use to not having the faja for so many time. When you remove it, your body can get swollen and also you can have pain. Remember to also compress your body to prevent a seroma which is an accumulation of liquid that has to be drained, it is hard to touch and also really painful. Bruises are completely normal for almost 3 months from surgery, that’s why is better for you to use a bruising cream and apply it all over your body 3 times a day. To prevent bad circulation and swollen legs, use compression socks. Brazilian butt lift can be performed with the same procedure and for a month it will be swollen and it will drop a little bit without losing it’s shape if you use your garment.. If you’re going to perform liposuction on your inner, outer, anterior, lateral, postetior thighs, be careful and consult with your surgeon what’s best for you, sometimes we have more extra skin than fat, that can cause severe sagginess on our legs, which can be only be reversed performing a thigh lift!

Depression After Liposuction

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It may be a bit early to tell how you will look overall only after 12 weeks.  However, depressions after liposuction may be due to over suction. Once the swelling has subsided, you may want to meet with your surgeon to discuss fat grafting in order to improve these depressions if they have not subsided. 

"Holes" or depressions after liposculpture can be treated.

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There are several causes of depressions after liposculpture including scars, irregular loss of fat, and cellulite. These can be treated by a variety of methods depending on the cause. These include saline injections, subcision, fat transfer, lipo-shifting, and fractional laser resurfacing.

Edward Lack, MD
Chicago Dermatologist

Depressions at the hip after liposuction

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Without an examination it is difficult to say whether or not you ahve depressionsl. You are also still in the healing phase and the other areas may be swollen.  Speak to your surgeon.

Depression in the hip area after liposculpture

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Liposculpture works on the deep layers of fat, deep to the skin. If the process is done unevenly, you may experience some bumps and asymmetry. If the scarring from the liposuction incision is tethered to the deep tissues below, you may see depression at the site also. Keep in mind however that at this stage of the process you are still with a significant swelling after your procedure. Your best bet is to continue to wear the garment at all times and to wait for your swelling to subside. Once the swelling results, you may not have this depressed area as all the areas around the depression may go down along with the swelling. Wait approximately 6 to 8 months after surgery to evaluate your final result.

Skin depressions after lipo

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You should go to someone who has a great deal of experience with fat transfer or "lipo shifting" It may require several treatments (although short) to get adequate correction.


Dr. Malouf

Skin depressions called contour deformities occur in about 2 % of standard liposuction cases

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The depression in the skin that you mention at 12 weeks after liposuction or liposculpture is a known side effect .

In my experience, these deformities often are not seen until later--often at 6 months. The fact that you see them in 3 months may mean that they will not go away.

Massage of the areas is important to remove post operative fluid from the surroinding higher areas.

I would do nothing for a year. If after a yera they are still there, fat injection can be done.

I have also had good results using laser assisted liposcution to focally remove fat from the high areas around the depression to help smooth out the skin appearance.

Early irregularities after lipsuction

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It is common to have slight irregularities after performing liposuction. It is quite likely that this will resolve with time. I would continue to wait until 4-6 months. If the depressions persist, I would contemplate lipoinjection.

Post-operative depressions after liposuction can be treated with fat injections

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12 weeks may be too early to tell how the overall area will eventually look.  However, depressions after liposuction may be due to over suction. Once the swelling has subsided, you may consider fat grafting to correct this deformity. More than one session may be required to get optimal results.

Reza Nabavian, MD
Santa Monica Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.