I had Liposuction of abdomen and waist 5 months ago, still have lumpiness, fibrosis and small pockets of fat. I had 12 sessions of lympathic massage, have been very diligent with diet and exercise and am not overweight although my waistline suggests otherwise. Will this resolve itself, or, if not what are my options? Would I have to have another surgery? Could this be repaired by the doctor without a full redo? I am 42, measure 38-28-36.
May 4, 2019
Answer: Liposuction Revision for Lumps, Fibrosis, Fat Pockets? Thank you for your question! Revision liposuction, especially to the abdomen, is not an uncommon problem patients seem to experience. This is most likely due to the location on the body and seems to be more problematic around the belly button. Part of the reason is due to skin elasticity issues and also due to patient selection. That being said, revision may help the lumps to some extent, but there still is scar tissue present that may prevent a complete resolution of the problem. I have used a selection of cannulas, the instrument used to suction fat, that are great for improving contour irregularities. A basket cannula in combination with redistributing the underlying fat has shown great promise for this population of patient. You can attempt to undergo lymphatic massage, but at some point, it's probably not going to be effective as the tissue continues to heal. It is best to wait up to a year to revise the problematic area as the scar tissue typically softens and allows the surgeon to better break up the scar tissue and improve the irregularity. The lumps may be more fat that needs to be removed or is a result of the belly button "holding up" the tissue above thus resulting in a lump especially around the button. I hope this helps!!
Helpful 14 people found this helpful
May 4, 2019
Answer: Liposuction Revision for Lumps, Fibrosis, Fat Pockets? Thank you for your question! Revision liposuction, especially to the abdomen, is not an uncommon problem patients seem to experience. This is most likely due to the location on the body and seems to be more problematic around the belly button. Part of the reason is due to skin elasticity issues and also due to patient selection. That being said, revision may help the lumps to some extent, but there still is scar tissue present that may prevent a complete resolution of the problem. I have used a selection of cannulas, the instrument used to suction fat, that are great for improving contour irregularities. A basket cannula in combination with redistributing the underlying fat has shown great promise for this population of patient. You can attempt to undergo lymphatic massage, but at some point, it's probably not going to be effective as the tissue continues to heal. It is best to wait up to a year to revise the problematic area as the scar tissue typically softens and allows the surgeon to better break up the scar tissue and improve the irregularity. The lumps may be more fat that needs to be removed or is a result of the belly button "holding up" the tissue above thus resulting in a lump especially around the button. I hope this helps!!
Helpful 14 people found this helpful
August 7, 2020
Answer: Botched Lipocontouring/Liposuction I have see this all too often. Over the years I have seen and treated hundreds of patients from around the world who describe similar experiences with having too aggressive liposuction with resulting bad contour irregularities, scarring, and discoloration of the skin. These are difficult to repair and for most patients only improvements can be made to make the areas look better. I approach each patient individually because each persons circumstance is unique and a treatment plan must be tailored appropriately. Some patients will require just some additional spot liposuction to reduce high spots, others will require fat transfer to fill dents/low spots, others will need a combination of techniques, and in some cases a more aggressive procedure, such as a tummy tuck, may be the best option. Many will require more than one procedure to make significant improvements. For anyone dealing with a botched body contouring procedure, or even considering body contouring for the first time, please do your homework and seek out a board certified plastic surgeon who has experience with these procedures and understands how botched problems can occur. Seek out a surgeon who you are comfortable with and gives you an honest answer, and doesn't try to sell you on hype of the latest gadget or technology because it will give you "much better" results, or is the "easy fix". Fixing "botched" surgery is tedious and not easy, and few surgeons will take on these complicated cases. I hope this was helpful. Good Luck.
Helpful 7 people found this helpful
August 7, 2020
Answer: Botched Lipocontouring/Liposuction I have see this all too often. Over the years I have seen and treated hundreds of patients from around the world who describe similar experiences with having too aggressive liposuction with resulting bad contour irregularities, scarring, and discoloration of the skin. These are difficult to repair and for most patients only improvements can be made to make the areas look better. I approach each patient individually because each persons circumstance is unique and a treatment plan must be tailored appropriately. Some patients will require just some additional spot liposuction to reduce high spots, others will require fat transfer to fill dents/low spots, others will need a combination of techniques, and in some cases a more aggressive procedure, such as a tummy tuck, may be the best option. Many will require more than one procedure to make significant improvements. For anyone dealing with a botched body contouring procedure, or even considering body contouring for the first time, please do your homework and seek out a board certified plastic surgeon who has experience with these procedures and understands how botched problems can occur. Seek out a surgeon who you are comfortable with and gives you an honest answer, and doesn't try to sell you on hype of the latest gadget or technology because it will give you "much better" results, or is the "easy fix". Fixing "botched" surgery is tedious and not easy, and few surgeons will take on these complicated cases. I hope this was helpful. Good Luck.
Helpful 7 people found this helpful