I Have Two Hard Lumps on my Abdomen 7 Weeks After Lipo - What Can I Do to Minimize Them and is This Normal?

i had liposuction on my stomach 7 week ago and my skin has 2 hard lumps that give my abs a wavy appearance .my surgeon told me i have thin skin and that one of the lumps look like its developing into scar tissue. he recomended lymphatic drainage massage. is this normal and will it go away

Doctor Answers 17

Lumps After Liposuction?

This is normal in al likelihood and will go away.  You can massage them.  Your doctor could try dilute steroid injections. Ultrasound may help.  Time is the best cure.  Massage, with time, I suggest for another couple of months.  See you surgeon for support and help.  Good luck


Palo Alto Plastic Surgeon
4.5 out of 5 stars 36 reviews

I Have Two Hard Lumps on my Abdomen 7 Weeks After Lipo - What Can I Do to Minimize Them and is This Normal

Thank you for submitting your question. Swelling after liposuction will last for many weeks after surgery. Hard lumpy areas are common in the first several weeks after lipo but rest assurred they will dissapate in 6-12 weeks. Final results take 6-12 months. Hard lumpy areas could be fat necrosis, localized areas of swelling and bruising, lymphedema, etc. Continue to use your contour garment, massage the lumpy areas , external ultrasound and lymphatic massage will help to decrease swelling. Discuss your concerns with your Plastic surgeon

Jeff Angobaldo, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 108 reviews

PHOTO: Lumps after Lipo on abdomen

AT 7 weeks, you have just completed the proliferative phase of wound healing and firmness and irregularities are not uncommon. Massage, ultrasound and MLD may help expedite scar maturation. I have found that these are often due to folds in improper compression garment wear or waistbands. IF this is the case you may be better off avoiding all compression to the area.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Not Uncommon to Have Lumps & Bumps Following Liposuction

It’s not uncommon for patients to have lumps and bumps following liposuction. Contour irregularities may have a variety of potential causes. These may include differential swelling, fat necrosis, hematomas, and seromas. They are usually transient and respond to conservative management with compression garments and massage. Rarely, aspiration is necessary when hematomas and seromas are present. In most cases, these problems have no effect on the long term results of liposuction.

Rarely, revisional liposuction is necessary but this shouldn’t be undertaken for at least six months in most cases. If you’re concerned about residual lumps and bumps following liposuction, it’s important to consult your surgeon. Your surgeon should be able to formulate an appropriate treatment plan for this problem. 

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Need more time for lumps to go away after liposuction

Liposuction of the lower abdomen especially on woman who have had children is always a questionable area.  If there was good pre-operative elasticity of the skin then  you should be fine.   It will take several more months for you to judge the result.  Liposuction is more about the quality of the skin and the amount of fat you leave behind than the amount of fat you removed.  The lumps and areas of firmness are normal and will resolve with time and massage.  You are still very early in the post operative recovery period and just need more time. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Lumps after belly liposuction

I agree with the other surgeons who have given their thoughts on this problem.  I would advise you to perform aggressive massage three times daily to these areas and continue to wear a binder or girdle throughout the day.  Often these "lumps" or contour abnormalities will go away or get considerably smaller over time.  Continue to follow up with your surgeon because the "final" results after liposuction take awhile (3-6 months) and you may still undergo considerable changes and may eventually end up without any problems.

That said, if you continue to have these irregular lumps after waiting and massaging, then those areas are more likely to stay around.  Consult with a plastic surgeon about ways to treat those areas that do not completely resolve.  Often, additional "touch-up" liposuction or fat grafting to depressed areas may be necessary to improve the results.

Hope this helps

Erez Sternberg, MD
Jacksonville Plastic Surgeon
4.9 out of 5 stars 32 reviews

Two lumps from liposcution

The two lumps you have may be fat necrosis, or seroma flud, to name a few things.  You may be better off massaging the area and giving it time to heal. Follow closely with your surgeon.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Liposuction lumps

These will often resolve with massaging and time.  I would expect that they would be consideraly softer in 3 to 4 months.

Pramit Malhotra, MD
Ann Arbor Plastic Surgeon
4.6 out of 5 stars 87 reviews

I Have Two Hard Lumps on my Abdomen 7 Weeks After Lipo - What Can I Do to Minimize Them and is This Normal?

Massage, massage, more massage. Otherwise allow healing for 3 months than have a touch up. From MIami Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

2 months after liposuction, two lumps on the abdomen

Sometimes one can have some hardness around the belly button after liposuction. This is a more fibrous area and can have persistent tissue inflammation. Massage is a good idea. One statement that concerns me is "...my surgeon told me i have thin skin and that one of the lumps look like its developing into scar tissue". It sounds that the liposuction might've been too superficial with injury of the blood supply under the skin resulting in abnormal scarring. If this is the case, it might be harder to correct. At this time I would consider massage and not wearing tight clothing which can lead to creasing in this area.

George Marosan, MD
Bellevue Plastic Surgeon
4.8 out of 5 stars 38 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.