7 years post op. Arm lipo left my arms lumpy with Irregularities. What can I do?

Whatever the cause of the present dilemma, I am willing to bet that pulling the skin tighter will help to smooth out the irregularities you have in your upper arms.  Sometimes liposuction is not the answer to the problem especially when we have too much skin in any given area.  In those cases, the extra skin doesn't allow for a firm hold of the remaining fat and it can look worse after the procedure is done.If you came into my office, I would have to examine you, but we would certainly be having at least a conversation about a formal arm lift operation to help you get the best looking arms possible.

I suggest going to a revision specialist for evaluation as you likely have scar that developed and either need something non invasive to break it apart such as Velashape or Venus treatments or will need contouring done again with fat grafting.  It is best you find an expert in this field who only specializes in this as this is a very difficult thing to fix.  Best, Dr. Emer.

This is obviously a difficult problem. A possible option is careful selective fat grafting. It appears you have areas of scar that are adherent to the fascia and have no fat beneath them, therefore the lumpiness. This may require multiple sessions. Fat does soften the deeper tissues and scar, we have seen this in the breast scar after reconstruction. I hope this helpsGood LuckStephen M. Davis, MD, FACSBoard Certified Plastic SurgeonGreen Hills Plastic surgery