What's the best possible cosmetic procedure to remove dead fat lumps from insulin injections? (Photo)

 Most of the time after repeated insulin injections there is formation of fibrous tissue. This often times becomes flatter when injections are no longer given in the area. If this does not occur the then removal surgically will probably be necessary.

Liposuction may be able to address the bulk, but an exam would be helpful.  I
would search for the board certified plastic surgeon who you feel is
most likely to give you the best results and who performs hundreds of
these procedures each year. I would look at patient reviews as well as
before and after photos on that surgeon's website.Kenneth Hughes, MDLos Angeles, CA

I would recommend an in person consultation with a board certified plastic surgeon with physical examination.  From your photos however, it looks as though your problem is isolated in the subcutaneous fat of your lower abdomen only.  If this is the case, removal of these lumps using a mini abdominoplasty approach should be possible through a c section type incision.  A small amount of skin can be removed if necessary to tighten up the lower abdomen.  You may still have irregularities in the skin when you are done.  Be sure that your surgeon and anesthesiologist are comfortable handling your insulin and blood sugar control around the time of surgery, and that you have your diabetes well under control.  Elevated blood sugar postoperatively will put your at increased risk of infection.

If the areas you're referring to are truly fat pockets, then surgical excision may be the only option. If all of them are in the lower abdomen, especially below the belly button, then a tummy truck might be able to fix that.Liposuction could potentially remove the healthy fat and leave behind some of the firm tissues. Conceivably, this could make it worse.Sometimes careful steroid injections can help. That should only be done by someone who has experience with steroid injections. Care must be taken to wait a sufficient amount of time after careful test injections.Best of luck,Mats Hagstrom, M.D.

your photos are helpful,but an exam is needed. You should change injection sites and not use the lower abdomen. Hard or dead fat may not allow normal insulin absorption.Liposuction can remove some of the hard fat and make the contour better.