Revision options for fibrosis and lump on lower abdomen after Vaser and tumescent lipo two years ago? (Photo)

Dear, to restore skin smoothness after energy-based liposuction, the lumps should be suctioned and targeted fat graft should be done under each skin depression. Grafted Fat tissue carries within a stem-cells related regenerative effect that we observe during the healing process. Also, to achieve a better result, no skin flaccidity should be left . Best regards.

Of course these energy based machines did nothing. You'll need a surgery that mechanically disrupts the scarring, allowing for redistribution of fat. Further, some fat grafting may also be necessary, based on in-person examination. SAFElipo was conceived by Dr. Simeon Wall, Jr to fix liposuction irregularities. It is surgeon/technique dependent, not machine dependent. 

From the photos, this should not be a big deal to fix.  Most all things in lipo are fixable. Using the micro canulas under local should be able to smooth down the lump quite easily .

this usually needs revision liposuction, fat grafting and mini tummy tuck to fix. 
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Dear KinT.O.,
I would have to examine you but it appears that this is a contour irregularity after liposuction.  This happens often when areas the undergo liposuction are not feathered appropriately.
The good news is that it can be fixed and I have done so with good results before. While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.
Daniel Barrett, MD

High definition VASER liposuction should efficiently address the issue. 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

It’s difficult to correct poor outcomes from badly done liposuction and Austin are not possibleI could’ve told you that the radio frequencies did nothing because those procedures are pretty much worthless in the first place.Your provider simply isn’t competent at liposuction. I question if you’re fat transfer did anything at all either.The primary problem is not fibrosis but that your fat was harvested in an uneven fashion leaving you with an uneven contour.The single bump can probably be even doubt with revision liposuction.Correcting these outcomes comes down to revision liposuction, fat transfer or removing the entire area with a procedure such as a tummy tuck.You’re not a candidate for a tummy tuck so that’s probably a bit extreme but if you were that would be the quintessential perfect cure for this Because it’s limited to lower abdomen only.The fact that lower abdomen only was treated with liposuction is a telltale sign that your provider really wasn’t too tuned in to liposuction. I Abdomen needs to be treated as a single unit. In fact the entire torso should be treated as a single unit.When someone has been over treated with liposuction then the chance of having improvements with secondary surgery becomes somewhat dismal. The best outcome jewelry comes from first assessing and any higher area is brought down with liposuction, any lower area is potentially treated with fat transfer.It’s hard enough keeping a smooth contour smooth with liposuction. Starting with a lumpy contour and making it smooth as many times more difficult.Some improvements can always be had but restoring someone to pre-liposuction contour is impossible.This is especially true when people have been over treated.It’s a bit like having a finger amputated. The fingers missing now.Fat transfer has low survival rates because the areas that need the fat transfer no longer have enough tissue to support the graft. Some graft will always survive but the amount necessary to correct the defect is rarely enough.Having true or three rounds of fat transfer in conjunction with liposuctio Having true or three rounds of fat transfer Is sometimes needed to get modest improvements.As you probably already figured out the secondary nonsurgical treatments are really a waste of time abd money.Best, Mats Hagstrom MD