I had liposuction to my abdomen and hips 6 weeks ago. My abdomen is extremely hard and I have what I can describe as wrinkly skin adhered to my abdomen wall. My surgeon says to give it 6 months and it may resolve. I’m really worried that my abdomen will permanently look this way.
February 7, 2019
Answer: Skin wrinkling following liposuction Skin irregularities are common after liposuction, especially when aggressive liposuction is performed on thin patients. A certain amount of fat should be left in the superficial layer to prevent indentations or grooves. Some plastic surgeons will intentionally "sculpt" or "etch" the superficial layer of fat directly under the skin, in order to accentuate or exaggerate a muscular "cut" or defined appearance. If not performed meticulously, "etching" can look unnatural. I would give it some time but you may need corrective releases and fat injections to try to correct the deeper indentations that may not improve to your satisfaction.
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February 7, 2019
Answer: Skin wrinkling following liposuction Skin irregularities are common after liposuction, especially when aggressive liposuction is performed on thin patients. A certain amount of fat should be left in the superficial layer to prevent indentations or grooves. Some plastic surgeons will intentionally "sculpt" or "etch" the superficial layer of fat directly under the skin, in order to accentuate or exaggerate a muscular "cut" or defined appearance. If not performed meticulously, "etching" can look unnatural. I would give it some time but you may need corrective releases and fat injections to try to correct the deeper indentations that may not improve to your satisfaction.
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February 2, 2019
Answer: Fibrous adhesions after abdominal liposuction I think you described your condition well when you called it fibrous adhesions after liposuction . It appears to me the provider was overzealous and you've been over treated on top of this the liposuction does not appear to of been done evenly. It's relatively early in your recovery but appearances at six weeks or a fairly good indicator of what the long-term results will look like. Unfortunately what you have will be very difficult to correct. Over treatment with excessive removal of fat causing severe skin compromise can be irreversible. Treatment options that that may be recommended could include fat grafting. My experience and I have quite a bit is that fat grafting works poorly to correct excess of liposuction because of the lack of host the tissue to graft the fat into. If you have skin scared down to muscle then there is no tissue to hold a fat graft. Sometimes the skin can be improved by converting this to a full abdominoplasty. The scar tissue that forms can also make converting this to a full abdominoplasty challenging. Regardless I would recommend being patient and waiting at least six months before considering any secondary treatment options. I do not believe any non-surgical interventions will be of any significant benefit in your case but others may recommend them. Best, Mats Hagstrom M.D.
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February 2, 2019
Answer: Fibrous adhesions after abdominal liposuction I think you described your condition well when you called it fibrous adhesions after liposuction . It appears to me the provider was overzealous and you've been over treated on top of this the liposuction does not appear to of been done evenly. It's relatively early in your recovery but appearances at six weeks or a fairly good indicator of what the long-term results will look like. Unfortunately what you have will be very difficult to correct. Over treatment with excessive removal of fat causing severe skin compromise can be irreversible. Treatment options that that may be recommended could include fat grafting. My experience and I have quite a bit is that fat grafting works poorly to correct excess of liposuction because of the lack of host the tissue to graft the fat into. If you have skin scared down to muscle then there is no tissue to hold a fat graft. Sometimes the skin can be improved by converting this to a full abdominoplasty. The scar tissue that forms can also make converting this to a full abdominoplasty challenging. Regardless I would recommend being patient and waiting at least six months before considering any secondary treatment options. I do not believe any non-surgical interventions will be of any significant benefit in your case but others may recommend them. Best, Mats Hagstrom M.D.
Helpful 3 people found this helpful
