Liposuction Revision for Lumps, Fibrosis, Fat Pockets?

The short answer is tightening the skin and, in the process, releasing the scar connections between the skin and the underlying fat will significantly improve the appearance of your abdomen.The three terms you used for your existing problems are all the same concept.  The lumps are collections of fat held together by scar tissue.  The fibrosis is multiple pieces of scar tissue between the top layer of fat and the skin.  The fat pockets are more fat and less scar in a given area.Liposuction is a process of pulling out fat from a given area, therefore decreasing the fat volume.  It works best in young people with tight skin because the fat is never removed symmetrically, i.e. there is always some bumpiness on the surface of the fat after liposuction.  The process of shoving a metal rod into the body and tearing out fat cells and fat particles always leaves scar tissue which is the body's healing process.  Young thick tight skin will cover this uneven surface of fat like cardboard and you'll never see the fat, and over time, the tight skin will create a smooth surface on the fat.  Older thin wrinkly skin will cover the same uneven fat surface like cheesecloth which will show every bump and crevice.  Post weight loss skin and post pregnancy skin, both of which have lost its elasticity will cover a surface like cheesecloth just as old skin will.  The newer Vaser, Laser, Cool, Smart, etc. liposuction gizmos increase the smoothness of the bumpy fatty surface, and therefore have some merit, but it is a one and done  By that I mean, any attempt to revise any of these destructive techniques will lead to a skin surface resembling the topography of Berlin after being bombed, whereas skin tightening (some form of tummy tuck) can break the scar pattern and allow newly tightened skin to reshape the lumps and bumps.  Therefore, if you don't tighten the skin, you'll never get the abdominal surface improvement you are looking for.  A well hidden low placed scar beats a partially improved, non-reoperable abdominal surface every time.

Thank you for posting your questions. My name is Dr.Javier Soto. I am a Board Certified Plastic Surgeon from Colombia
This is a great question, liposuction had been the most popular procedure through time. At this moment there is a different kind of techniques that we can use to improve the appearance of our body, unfortunately, you got fibrosis one of the most common complication after a session of liposuction. it doesn't resolve itself, there is a technique on the market called vaser-liposuction that use a specialized ultrasound technology  to break down fat cells by sending out ultrasonic frequency waves, Once the fat cells have been broken down, the cosmetic surgeon is able to remove excess fat through a suction process, it can be performed per sections however I suggest a full 360 liposuction to achieve a good result.
Please keep giving us feedback about your process, and I hope my answer comes to help.
Javier Soto, MD
Plastic & Reconstructive Surgeon
Cartagena Colombia

I would begin with Hidef Liposuction Revision which includes lipocavitation, liposculpture, Exilis multi plane tissue tightening, Ultherapy, fibrous release, and fat grafting to correct any unevenness. Best, Dr. KaramanoukianLos Angeles