Options For Lumps And Hardness 3 Weeks Post Laser Lipo To Abdomen? (photo)

It is very common to have lumps and hard areas after any type of Liposuction.  I have found that laser liposuction such as the GPS Lipocontrol laser is very accurate with fat removal and tends to be less lumpy than traditional liposuction.  Massage, either lymphatic or ultrasound, is important and very helpful. Lumpy areas 3 weeks after liposuction is not abnormal, but very common.  It will take months for this to resolve, but it should.  I don't think there is any one treatment which is considered the best for lumps and bumps after liposuction.  Any kind of massage or ultrasonic treatment will help to mobilize fluid and soften the areas. 

Hi, 3 weeks is too soon for swelling, lumps, pain or discomfort to go away because they may persist up to 6-8 weeks. Please be patient as you can usually begin to see #results 2-4 months later as the swelling continues to diminish and contours become more defined, but improvement will continue for 4–6 months as swelling and irregularities resolve. These contours can even improve throughout the year after surgery.  And yes, you may feel "lumpy" and irregular along the suctioned area as you heal. Continue with your prescribed aftercare and they will eventually decrease with time.
Circumferential pressure is recommended for 4-6 weeks for best results as this restricts the amount of edema that forms and hastens healing. It is best to strictly follow the prescribed aftercare for best results and do not hesitate to contact your surgeon for any more concerns. Best of luck! 
#RealSelf100

Fibrosis is common after laser liposuction and is best treated by external massage and or external ultrasound.  It will take months for all of the firmness to resolve, but it should resolve.

Massage, massage, and then more massage!!!! Almost all Lipo has some waviness to it afterward and as much massage as you can tolerate is the best. The other treatments have really not been shown to work as far as I know....So keep going! As far as your seroma, of fluid buildup, let your doctor handle that ....It should eventually go away...

Sorry for your issues. Aggressive lymphatic massages and/or external ultrasound. You might have been a poor candidate for laser liposuction. 

Inflammation with swelling and hardness/lumps are common following liposuction. These will go away with time and 3 weeks is still very early yet. There are a variety of "touted" methods of addressing the swelling and lumps but I am not convinced that the time, effort and costs are justifiable. 

There are issues with laser liposuction that may may increase the risks compared to other approaches even when performed by a practitioner facile with other techniques. You need to discuss your concerns with your plastic surgeon. 

It appears that there should have been better communication between you and your Plastic surgeon regarding expectations, both short- and long-term. It is expected with all forms of Liposuction to be swelling and inflammation after the procedure. This manifests as hardness and area of stiffness. This SHOULD gradually improve over the next few months and in some cases may be helped by lymphatic massage.
 

The most important consideration is that you are very early in the liposuction healing phase. While three weeks may seem like an eternity to you, it is quite early in the healing process after any form of liposuction. All of your tissues underneath the skin have undergone considerable trauma and injury from the procedure. Hardness, lumps and irregularities are very common after liposuction and are part of the healing process. What you see today may well go away on its own in a few months. While there are certainly benefits to lymphatic massage and other types of tissue manipulation after liposuction, the tissues are still too tender and inflamed to get much benefit from them at this point. You would be better served to give the treated area more time to heal and consider these other therapies at six to eight weeks after surgery.

Our body's immune system is very active in the first two months after Lipo of the neck, abdomen and inner thighs. I have become a believer in the real benefit of lymphatic massage. Make sure your massage therapist is actually trained in this therapy, not all are. The immune response typically lasts 8 weeks and gives this firm feel and appearance. You will form more seroma fluid if you are more active but I find my more active patients heal faster and get better results long term. I'd much rather drain an active patient than have a patient with a blood clot or gaining weight and disappointing both of us.

You
are still early in the post operative healing process. Your hardness and lumps
should improve and resolve over the next six weeks regardless of which
treatment you use. Your fluid should also stop building up with time especially
as it being drained. You should be
wearing compressive garments (spanks) as much as possible.