Can I get this indented scar from the liposuction cannula fixed right away? (Photo)

Question

I had liposuction done and I ended up having an indented scar. During my follow up appointment the doctor used a needle to release the scar from whatever was pulling it down. The scar is now risen but there is still a dent around the scar. When I push down on it I can feel a hardened lump. What is this? Can this be fixed?

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Trevor M. Born, MD · Answer

Dear CalliestarThank you for your question and photo! I  am sorry that you have an irregularity.  If this is after 3 to 6 months post op- then some fat graft can be placed to correct this.With Warm RegardsTrevor M Born MD

Michele A. Shermak, MD · Answer

Is it possible there is more fat gone around the scar relative to the adjacent tissue? Maybe it's an area that had more fat removed? If that is the case, focal fat transfer to this area may be your best bet. You should discuss this with your plastic surgeon. He/she may want to wait a bit longer and advise you on strategies to smooth the area further without another procedure.Best of luck!

Jason Emer, MD · Answer

This can be improved with a combination of surgery and/or lasers and microneedling/prp. Below is a more detailed reference list of the treatments available. I recommend getting a formal evaluation with a scarring expert to determine which is best for your specific case. Best, Dr. Emer
1. vascular lasers (yellow laser, vbeam, excel v)
2. fractional lasers (fraxel, erbium, co2)
3. microneedling/PRP
4. silicone based scar gels with growth factors
5. excision/revision surgery
see an expert.

Daniel Barrett, MD · Answer

Dear  Calliestar,I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after 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

Can I get this indented scar from the liposuction cannula fixed right away? (Photo)

Answers (8)

Answer: Treatment for indented scars--Vascular laser, fractional lasers, microneedling, PRP, silicone based scar gels

Answer: Treatment for indented scars--Vascular laser, fractional lasers, microneedling, PRP, silicone based scar gels

Answer: Scar

Answer: Scar

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Everything you need to know about Liposuction Revision

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Can I get this indented scar from the liposuction cannula fixed right away? (Photo)

Answers (8)

Answer: Treatment for indented scars--Vascular laser, fractional lasers, microneedling, PRP, silicone based scar gels

Answer: Treatment for indented scars--Vascular laser, fractional lasers, microneedling, PRP, silicone based scar gels

Answer: Scar

Answer: Scar

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Recommended reading

Everything you need to know about Liposuction Revision

Our mission is to create a world where every investment in modern beauty is Worth It.