Hard scar tissue on lower abdomen after tummy tuck - could liposuction fix it?

Abdominoplasty scars can be quite complex, ranging from the simple hypertrophic scar to a multiplane inflamed keloid. Pigmentation, discoloration, chronic inflammation, scar visibility can all occur in the short term. We begin each treatment with combination therapy using Yellow broadband BBL, Vbeam, fractional erbium, intralesional IIT, and scar modulation. Start with a combination of Plato's Scar Serum massaged twice daily after one week of epithelialization followed by Luminase/Exfolase. Scar consultation and revision may be recommended.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Dear cruisegirl223,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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

For hard scar tissue after a tummy tuck, this will need to be excised. Liposuction is not for removal of scar tissue but for excess fat. Go back to your surgeon who did the tummy tuck and discuss your concerns.

To make an assessment on the outcome of an operation we need to see proper before and after pictures. If you don’t have before and after pictures then ask your surgeon to forward the ones they took. Patient had a previous procedures should include before and after pictures of each of the previous procedures especially if they involve the same area.
I recommend you first and foremost follow up with your provider and ask his or her opinion.
An uneven scar or thick firm areas around the scar may represent simply scar tissue from healing or a lack of skill in approximating the skin edges during surgery.
Liposuction is unlikely to even out the contour especially if it’s related to scar tissue. A surgical revision of your incision is most likely the way to go.
Depending on what it looks like this could potentially be done as an in office procedure under local anesthesia.
The extent of surgery needed is based on an assessment which requires an examination or at a minimum seeing quality pictures.
Consider re-posting with quality before and after pictures, follow up with your provider or schedule proper a second opinion consultations.
For a second opinion consultations patient should come prepared to bringing with them and proper before and after pictures and ideally a copy of your operative reports.
These are all available from your previous surgeon or surgeons offices if you request them.
Best,
Mats Hagstrom, MD