How can I fix my fibrosis? I have a BBL 7 months ago (Photo)

Dear Stephanym3,
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.
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

I suggest you consult with your physician to discuss best next steps. You may be a candidate for revision . Best, Dr. Emer

Hello @Stephanym3 and thank you for your question. Is important that you choose a board certified specialist that can help minimize the fibrosis by doing a liposuction. The surgical procedure of liposuction, may or may not be associated with technology. Many times the characteristics of these lumps under the skin or retractions are secondary to a conventional fat extraction technique. We handle fat from the use of laser technology, which is light, or vaser, which is internal ultrasound associated with microair (PAL- Power ssisted liposuction) the first two devices allow us to vase or Laser produce lipolysis (is to pass the fat of a solid state to a liquid state so that there are no irregularities under the skin) and the microaire or the PAL allows us to make the extraction of the melted liquid without so much trauma.It is important to be able to evaluate the case a little more to determine if only with a new lipolysis from the combination of technology can be improved. If it is only a lipolysis, we will be able to improve the appearance by 50% towards 70% of the result you currently have; because fibrosis behaves as a scar inside the tissue and it is very difficult to be able to remove it completely. Best wishes!

Your outcome is a direct reflection of how the procedure was performed. Your surgeon lacks the skill and experience to deliver quality results.

Fat was removed far too aggressively and unevenly. The outcome of that type of treatment is often called fibrosis as if being some type of condition that some patients develop. It is not a condition that happens to some people. It is a universal response to having almost all fat removed with overly aggressive Liposuction that’s done in an irregular unstructured manner.

I cannot emphasize enough the importance of patients vetting their surgeons adequately before committing to liposuction which is a permanent and more or less irreversible procedure.

Nonsurgical treatment cannot compensate for permanently removed subcutaneous fat.

Unfortunately there are very few real options that can improve your contour.

I would encourage you to follow up with your provider so that he or she can adjust their technique or not continue to disfigured people. It may also be worthwhile to write some reviews about your experience to help others not go through the same experience.

I believe patients deserve honesty and unfortunately in your case this is something you’re going to have to live with for the rest of your life.

Collecting poorly done liposuction is difficult. Treatment options typically come down to removing more fat called revision Liposuction, fat transfer or converting the procedure to a skin excision procedure like a full tummy tuck. None of these are great options for you but there may be room for some improvement with a combination of carefully done revision Liposuction and selective fat transfer.

Revision work as many times more difficult than primary Liposuction so obviously finding someone who has extensive skill and experience with this type of work is paramount in order to not make things worse.

Defined the most qualified provider I recommend having multiple in person consultations with providers in your community. During consultations ask each provider to show their entire collection of before and after pictures of a bummer on liposuction and hopefully long-term results of revision work.

Both liposuction and fat transfer results take at least three months to show final results so showing early postoperative results is not helpful to patients because the results are not representative of final outcomes.

An experienced provider should have no difficulty showing you 50 sets of before and after pictures of a domino liposuction. Highly experience providers will have hundreds or possibly thousands of before and after pictures of this procedure for this anatomic area.

When in doubt continue scheduling more consultations until you feel like you found the right surgeon to work with.

Fat transfer is often not very successful one too much fat has been removed because the fat will not survive if it doesn’t have sufficient host tissue to support the graft. This is what makes correcting over treated Liposuction results so difficult.

I’m sorry you had to go through this. I wish you the best in finding a provider to help you from here on.

Best,

Mats Hagstrom MD