Fibrosis 4 months after liposuction. Do I need a revision? (photos)

It is too soon to tell what your final results will be. You have swelling, which can last 3-6 months after your procedure. I recommend adding hyperbaric oxygen and lymphatic massage along with your compression to help decrease swelling. To improve your final results, I also recommend adding vanquish for further fat removal, exilis/venus legacy for skin tightening, cellutone/z wave to make the skin smooth, remove scar tissue, and improve the skin’s appearance. See an expert. Best, Dr. Emer

At 4 months, you can tell if a revision is needed and getting done now will be easy so worth it.  It's time.

Thank you for your question and photos. Preop photos would've been helpful. Based on these photos, it seems you had a fat reduction liposuction done with poor technique. You have multiple unnatural groovings, excess fat in the periumbilical area. The hardness will eventually resolve, sounds like you might've had some bleeding or excessive bruising early on. These all contribute to prolonged inflammation and scarring. What will not get better are the haphazard groove patterns.I would recommend seeing a different surgeon, (board certified plastic surgeon experienced in advanced body sculpting techniques) for a consultation and how to "fix" your results. This is not a touchup, it is a new operation that takes skill and experience. Good luck with your healing.

fibrosis is generally a term laypeople use for excessive score tissue formation but in context to liposuction it really represents aggressive treatmeant with too much fat removed leaving people with proportionately more scar tissue and less fat. Four months is fairly close in regards to having final results.  In other words don't expect your results to change much by waiting further. The uneven contour is a direct reflection on how the treatment was done. It is not because you have excessive scar tissue it's simply from the liposuction done in an uneven fashion. Revision is an option but I will warn you that if your plastic surgeon turned a smooth contour into what you have now imagine how difficult it is to take a bumpy contour and turn it smooth.  Perhaps that does not make sense to someone who doesn't perform liposuction but in general it is much more difficult to correct bad outcomes from liposuction that it is to do good liposuction in the first place.  The good news is that it appears you were not aggressively over treated which should leave room for at least some improvements with a revision procedure.  Considering your provider left you with this outcome you may want to consider a second opinion.  I cannot emphasize enough the importance of choosing the best providers for this procedure. Finding the best provider is in itself for more difficult than people think.  This is because of skewed and biased information from providers self promoting.  Best, Mats Hagstrom MD