Erythema ab liporaspiration? (photos)

Question

Hi. I had lipo in Jan 2015 and look like this today. Aside from the obvious unevenness, does this lacy pattern look like a permanent condition? The doc wants to use BBL and topical creams. I had one treatment a few months ago. I was very painful and didn't help. Any suggestions? I've been told it's permanent and will only get worse with heat and sun.. So depressed about my new body...

Misbah Khan MD, FAAD, FACMS · Answer

Reddish lacy pattern after liposuction is commonly seen on the abdominal areas if the liposuction was performed either too superficial or the heat from either the laser or the ultrasound caused thermal injury to the skin's under surface. I have had some success in treating this with fat grafting but its not permanent.

Ramiro Morales, Jr., MD · Answer

I agree with the doctor blow.  It seems like there is thermal or heat damage to the skin.  At this point, my best advice is to avoid the sun and to leave this alone for a while to allow maximum healing.  Anything else you do at this point will possible aggravate the condition and prolong healing.Be sure to seek the advice of a Board Certified PS for any further procedures.

Johnny Chung, MD, FACS · Answer

Thank you for your question. It appears that you have had a bad result with laser liposuction or smart lipo. Unfortunately the rippling may be permanent. Treatment options include fat grafting or a modified Tummy tuck to trim the fat under the skin manually to provide more evenness to the skin appearance. The redness has to resolve on its own. You may try a test spot  ipl laser and see if it may help. Sorry for your less than ideal results.

Mats Hagstrom, MD (license on probation) · Answer

The skin changes you describe may be the result of heat or mechanical trauma to the underside of your skin. This type of dermal injury can be seen after laser liposuction or VASER ultrasound-assisted liposuction. The recovery time for liposuction is around three months for final results.Skin healing tends to be much slower and can take as long as a year to 18 months. If your treatments did not show improvements, then consider simply giving it more time.Generally, allowing things to heal over time is better than using topical steroids.You can always try a small sample area to see if they help. Hopefully your condition will improve with time.One word of caution: if your skin itches, try at all cost to avoid scratching it.Best of luck,Mats Hagstrom, M.D.

Erythema ab liporaspiration? (photos)

Answers (4)

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