Can you remove fibrosis years after having liposuction?

Question

I had lipo on my inner thighs about 5 yrs ago, and I still have large patches of hard scar tissue under my skin. I've always been a dance and yoga enthusiast, however stretching has become very painful in that area, and my range of motion is less than half of what it used to be. I also have a little bit of rippling and lumps in those areas as well, but my main concern is the pain. Is it possible to remove the fibrosis this many years after having the procedure? If so, what are my options?

Misbah Khan MD, FAAD, FACMS · Answer

I specialize in revision surgeries. the fibrosis can be improved upon. I deal with this everyday during surgeries. the fibrosis occurs as a result of repeat manipulation and damage to the underlying soft tissue. it can last for a very long time. with minimal to no improvement over time. and just like you're experiencing the pain, its a very common symptom. I see you're in LA. my office is in NY. if for some reason you will be in NY please let me know would be happy to see you and see how I can help

David Hansen, MD · Answer

Almost everyone gets some amount of fibrosis after a surgical procedure. Liposuction is no different and going back and breaking up the fibrous tissue is usually only accomplished with the PAL system which does a mini jack hammer on the tissue and frees it up and removes it. It can be done at any time and is so worth it.

Johnson C. Lee, MD · Answer

Scar fibrosis after liposuction can be manually broken up with revision liposuction. You may also need to have some fat injected back into the area so that you don't simply remake the fibrotic tissue as you heal. Hope this helps!Johnson C. Lee, MD 
Board-Certified Plastic Surgeon

Arian Mowlavi, MD, FACS (license on probation) · Answer

Yes, it is possible to remove the irregularities in your legs. A virtual or in person consultation can more accurately decide what procedure will get you the results you are looking for. The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

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