Hard Areas After Cellulaze? (photo)

I had cellulaze in May. I have these retangle size areas in my top thighs that are hard and uncomfortable. They are about 4x6" and hard. The area is still bruised & slightly tender. My doc said he thought they were edema. But not for sure. Any ideal what they could be and they are not seromas. ???

Doctor Answers 9

Hard areas after Cellulaze

Cellulaze is an energy-based treatment that generates heat under the skin. The body reacts to this with a firmness called induration which is part of the healing process. Usually there is a uniform firmness under the treated area that gradually resolves over 3 weeks to 2 months.  This is common after laser-assisted liposuction.  The Cellulaze procedure is very safe because of the guidelines for energy use and the safety features of the laser itself. The laser will shut off if the programmed temperature is exceeded.  So it is very likely that in a while, the areas of induration or firmness will start to soften and then go away.  They may be a little tender in the meantime and gentle massage or other modalities as mentioned in the other doctors' replies could be helpful.

Mountain View Plastic Surgeon
5.0 out of 5 stars 47 reviews

Hard area after Cellulaze


It is not unusual to have swelling, bruising, tenderness and even some firm areas after Cellulaze.  Continue follow up with your surgeon.  You may consider ultrasound, smoothshapes or some type of lymphatic massage to help with swelling and any fluid accumulation but check with your surgeon first.

Good luck~

Dr. Grant Stevens

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 145 reviews

Possible scar tissue

Thank you for the photo. The hard areas you are experiencing may be scar tissue. Please follow up with your surgeon to make sure you are healing properly. Good luck in your recovery.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Hard areas

The hard and uncomfortable areas are consistent with the cellulaze that you had.  Cellulaze will cause some bruising, tenderness and firmness and this is completely normal.  It is unlikely that they are seromas.  Your issues will get better with some time.

Shim Ching, MD
Honolulu Plastic Surgeon
4.6 out of 5 stars 46 reviews

Recovery after Cellulaze

Cellulaze has been a great way for patients to get rid of cellulite and to tighten the skin in the legs and buttock.

I generally have my patients wear compression (spanx or yoga pants) for 2 weeks and then an additional 2 weeks at night only. At 4 weeks, I advise therapeutic massage. I have a wonderful massage therapist in the office who helps with my patients. Some of the more firm areas are pockets of fat that are continuing to be reabsorbed. They should resolve over time. Studies have shown that the skin and fat continues to remodel for up to one year after Cellulaze. Be patient and follow up closely with your plastic surgeon.

Adam J. Oppenheimer, MD
Orlando Plastic Surgeon
4.9 out of 5 stars 181 reviews

Normal healing after Cellulaze procedure

Thanks for the question michaela.  It appears that you have normal healing after the procedure.  Since you marked off the areas of a rectangle, this is more than likely the grid that was used for determining how to treat your cellulite effectively.  With a seroma you normally feel a slight fluid wave that returns after you push the skin down in the area of concern.  Seromas are usually very distinct areas, and are not typically over the whole area of concern.  I hope this helps and best of luck.  Robert Kratschmer, MD

Robert Kratschmer, MD
Houston Plastic Surgeon
4.4 out of 5 stars 35 reviews

Firm areas are usually swelling, seromas are more spongy

One ussaully has to "feel" the diagnosis of seroma. It is a liuid under the skin and is soft and bouncy.  It is quite rare these days to get a seroma with the energy levels we use in Cellulaze.  If is soft, have your docotr feel it. If it is firm, this is usually swelling on the fat. this should be massaged 2x per day until resolved   Thanks, Dr Barry DiBernardo


Barry E. DiBernardo, MD
Montclair Plastic Surgeon
4.1 out of 5 stars 50 reviews

Please check with your doctor if you have complications following Cellulaze treatment.

Be sure to check with the doctor who did the procedure regarding any complicatons you may have after Cellulaze treatment.  Firm areas will usually resolve in a few weeks or month.  

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.2 out of 5 stars 18 reviews

Hard Areas After Cellulaze?

Very hard to see the areas in the posted photos. Could be swelling or even small seromas. Are you receiving lymphatic massages or external ultrasound therapy?? Best to have frequent follow ups. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 171 reviews

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.