Bruised penis 8 months after liposuction - what can I do tospeed up the healing process? (photo)

Question

Hi! I had a tummy liposuction plus renuvion eight months ago and since the beginning I’ve got bruised my penis which is much darker than it used to be. My doctor said to me that I can expect that bruising might occur in this area but I am concerned that it lasts for so many months. What can be done to get back its normal color?

Connie Hiers, MD, FACS · Answer

You may have some pigment, hemosiderin, from the red blood cells that when broken down was deposited in this area. Actual bruising is now resolved. The pigment may yet slowly improve.  Massage will not help this.

Mats Hagstrom, MD (license on probation) · Answer

When doing liposuction of the lower abdomen, especially if it includes the pubic area anatomic channels are created that allows fluid to drain inferiorly due to gravity, and this often and sup, creating swelling in men’s scrotum, or women’s labia majoras. 
Liposuction has the potential of having significant blood loss. The amount of blood loss is highly dependent on how surgeons perform the procedure. The best way to minimize blood loss is for the surgeon to inject ample amounts of epinephrine containing tumescent solution well in advance of it starting Liposuction. Epinephrine causes vasoconstriction which basically shuts down the blood supply through the skin and fat of the area being treated once the medication is in full affect.
It’s important that surgeons are thorough when injecting the solution, placing it through all the tissues and insufficient amounts and giving the solution sufficient time before starting liposuction. Ideally, this should be about 15 minutes. Operating room time is expensive and when patients are under general anesthesia pain during the procedure is not so much of an issue.
When the procedure is done without general anesthesia, while patients are awake, it is imperative that the solution is injected in a meticulous manner. It is less important when general anesthesia is used. Using good technique with meticulous injection of tumescent solution and giving the medication sufficient time to work is of great benefit to patients and that reducing blood loss improved safety and dramatically reduces postoperative bruising.
Mild bruising will typically dissipate in about 10 days, but if the blood loss is significant, patients may be bruised for much longer. The discoloration from bruising is a manifestation of the breakdown of hemoglobin in red blood cells. The body begins to convert hemoglobin into the final and product, which is bile. During this transformation process the hemoglobin molecule goes through many different intermediaries, which have certain pigmentation color. If significant amounts of blood are left in the tissues, it can potentially cause long-term or even permanent tissue staining because of the accumulation of iron in the tissues. This is referred to as hemosiderin staining.
At eight months, I think it’s unlikely, but you still have blood in your tissues and there’s no longer represent hemoglobin or hemoglobin breakdown products but is more likely a collection of hemosiderin. 
Hemosiderin staining is difficult to treat. The condition typically improves slowly over time.
My best guess is that the procedure left you bruised for longer than two weeks.
This may seem as and obscure and unusual side effect of liposuction, but does have a likely explanation as I have tried to explain above.
Most likely, your best option is to simply give it time. Take intermittent photographs every three months and see if it’s heading in the right direction.
Hopefully your liposuction results are to your liking, and while the discoloration may persist for sometime most likely, it should continue to improve.
Best,
Mats Hagstrom, MD

Bruised penis 8 months after liposuction - what can I do tospeed up the healing process? (photo)

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Bruised penis 8 months after liposuction - what can I do tospeed up the healing process? (photo)

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Everything you need to know about Liposuction

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