Inch deep groove after Vaser Lipo. Non-surgical options to get rid of this? (photos)

Question

28F. Had VaserLipo on stomach, flanks & mons pubis, 6.5L removed. Surgeon said I had good laxity pre-surgery so Renuvion not needed. Now have a very deep groove where my stomach connects to the mons pubis - an inch deep. I had 8 drainage massages and wear my garment religiously. What can I do to get rid of this? Non surgical options preferable! I had a check up with my surgeon who asked me if this groove was due to my cesarian scar… I’ve never had children. Any help greatly appreciated.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

Admittedly, the kind of linear, horizontal indented scar in this location is quite commonly found following Caesarian sections and can therefore be treated in a similar fashion, which consists of an aggressive, large bore cannula subcision along the entire length of the scar accompanied by the use of a robust HA lifting filler. Several treatment sessions are typically required and a maximal overall improvement of 60-80% can be expected for "mature" scars, defined as those older than three months. Following the aforementioned series of subcisions, a  series of intensive manual microneedling sessions can be performed, accompanied by the application of prescription pigment lighening agents, in order to treat the inevitable residual superficial surface texture and hyperpigmentation irrelularities. You would be wise to consult with an experienced, board certified cosmetic dermatologist scar specialist and best of luck.

Camille Cash, MD · Answer

I'm sorry to hear of your contour irregularities since liposuction.  It appears you may still be healing from surgery.  You will want to give yourself at least six months to heal from your procedure.  Continue with massage, using compression, weight management, and exercise.  If after six months you still have concerns you will have the best results from surgical intervention.  From the posted photos you would be a tummy tuck candidate to remove excess skin and fat as well as correct abdominal wall laxity.

Inch deep groove after Vaser Lipo. Non-surgical options to get rid of this? (photos)

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