Vaser lipo issue - how can I improve this dent on my stomach? (Photos)

Question

I had laser lipo two years ago and I have a unwanted line on the side of my stomach, please let me know what is causing it.

Semih Yildiz, MD, FEPOBRAS · Answer

The photos show a linear depression along the side of the abdomen/flank with some surrounding contour irregularity. Two years after laser or VASER liposuction, a persistent dent like this is usually related to uneven fat removal, scar tissue or tethering between the skin and deeper tissue, skin contraction, or a combination of these factors.

At this stage, massage or waiting is unlikely to make a major change. The best correction depends on whether the area is truly hollow, tethered, or surrounded by excess fullness. Options may include careful scar release or subcision, small-volume fat grafting to the hollow area, very conservative smoothing liposuction around the edges, or a combination. An in-person exam is important because over-treating the surrounding fat can make the line more obvious. I would see a board-certified plastic surgeon with revision body-contouring experience and bring your before photos and operative details if available. If the area is painful, enlarging, firm, red, warm, or associated with swelling, it should be checked promptly.

Andrew Ray, DO · Answer

It looks like you had a hider liposuction. The results look good. In terms of the small area of extra line, likely looking into fat transfer would be the best option. It will likely take several sessions to get a good result so be patient and willing to invest a little into the process if it’s a priority to you.

Daniel Barrett, MD · Answer

Dear Genius729063,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question here!My answer will be based on the limited information and pictures provided, for a detailed and bespoke plan please consult with your plastic surgeon.
Dents can happen either from scar formation, issues with skin contracture or just liposuction irregularities from either over suctioning the area or uneven suctioning, sometimes it can be even caused by abnormalities in the underlying tissues that become more obvious when the skin is thinned. that being said even though there is no easy fix there are many available options that will depend on what the issue is and how far are you from your surgery , like lymphatic massages ( best in early recovery), ultrasound and radio-frequency based devices, and liposuction revision to even out fat distribution.I would recommend consulting with your plastic surgeon to diagnose the issue and come up with a plan that will work for you.Best of luck!

Mustafa Aydinol, MD - Account Suspended · Answer

It sounds like what you’re describing could be contour irregularity or scar tissue from the laser lipo. This can sometimes happen if the fat was removed unevenly or if the skin didn’t retract smoothly after the procedure.
A visible line might also be caused by fibrosis (thickening of tissue) or a small area where the cannula (lipo tool) created a groove. It’s not uncommon, but I know it can be frustrating to deal with.
There are options to help soften or smooth the area, like: • Massage or lymphatic drainage (if it’s mild) • Radiofrequency or ultrasound treatments to break up the tissue • Fat grafting or fillers to even out the surface • In some cases, a revision lipo might be needed to blend the area better.
It’s worth consulting with a surgeon or provider experienced in post-lipo corrections. They can assess what’s causing the line and recommend the best approach to improve it.

Vaser lipo issue - how can I improve this dent on my stomach? (Photos)

Answers (5)

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