10 months post-op - What can be done to smooth out all the lumps? (Photo)

Hi and welcome to our forum!
Irregularities at the skin surface after liposuction may be caused by localized areas of residual inflammation (which may last for 12-18 months), residual fat, lax skin, or overly aggressive liposuction.
Various modalities of treatment are available to treat lumpiness, including massage therapy, radiofrequency and ultrasound therapy, and laser skin tightening. Injectable Kybella (deoxycholic acid) is moderately effective as well.
Discuss this issue with your plastic surgeon.
Best wishes...

Dear Taw021,
I would have to examine you but it appears that this is a contour irregularity after liposuction. This happens often when areas the undergo liposuction are not feathered appropriately.
The good news is that it can be fixed and I have done so with good results before. While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Dear Taw021,
Thanks for sharing your photo. You appear to have received a very good lipocontouring reduction with some mild residual irregularity. The fat cells are enclosed in smaller and medium and larger fibrous compartments. With the use of tumescent fluid infiltration, the ability to visualize all these compartments becomes compromised. I have also found while laser liposuction is more efficient, concern regarding burn injury to skin or nerves may make the user less vigorous. Superficial fat liporeduction is also associated with residual irregularity as well. Having said this, your overall contour is very good!
To improve residual thin liposuction irregularities, consider a practitioner with experience using the flat applicator of CoolSculpting. While less efficient than the curved applicators, it will more evenly cool and reduce the more superficial and residual fat bundles..
I hope this helps.