Are fibrosis & scar tissue the same thing & is massage needed to get it to go away?

Question

Are fibrosis n scar tissue after liposuction the same thing? Do u have to massage to get it to go away?

Anna Chacon, MD, FAAD · Answer

Fibrosis and scar tissue are related but not exactly the same thing. Fibrosis refers to the process by which the body produces excess fibrous connective tissue in response to injury or disease. This can occur in many different tissues and organs in the body. Scar tissue is a specific type of fibrous tissue that the body produces to replace normal skin or other tissue that has been damaged.
Massage can help to break up scar tissue and improve its appearance and flexibility. However, its effectiveness can vary depending on the severity and location of the scar tissue. Regular, gentle massage can help to increase blood flow to the area, reduce inflammation, and promote healing. It's important to consult with a healthcare provider or physical therapist before beginning any new treatment regimen.
In the case of severe fibrosis or scar tissue, other treatment options may be necessary, including physical therapy, surgery, or medication. Always consult with a healthcare professional for personalized advice.

Mats Hagstrom, MD (license on probation) · Answer

The word fibrosis means the buildup of scar tissue. Generally excessive scar tissue to the point of being abnormal or causing pathology. It’s a descriptive term rather than a term for any particular condition or diagnosis. In relationship to Liposuction the term fibrosis is often used from poorly done procedures, especially when too much fat has been removed. All Liposuction procedures will create scar tissue. This is generally not a problem. If the procedure is done correctly, and the sufficient layer of fat is left behind. Generally speaking the more aggressive, the Liposuction, the more scar issue will be formed. scar tissue by itself isn’t the problem after liposuction. The problem is when there’s no remaining fat to buffer or absorb the scar tissue. There is no treatment for poorly done liposuction that can be done without surgical intervention to stop the outcome. Massage is not going to reduce the amount of scar tissue, nor is it going to replace fat that was inappropriately removed.
Poorly done Liposuction is very difficult to correct and people should think of this as a permanent and more or less irreversible procedure. Potential treatment options for poorly done liposuction include revision, Liposuction, fat grafting, and occasionally cutting out the problem area converting the procedure to a skin tightening operation.
For example, if the lower abdomen is disfigured from Liposuction, then potentially a tummy tuck, could remove the problematic area.
This type of work is complex and very difficult. Generally speaking only partial improvements are possible in the hands of a sufficiently talented plastic surgeon. There are no non-surgical treatments that are going to make any significant impact.
To make an assessment on the outcome of a plastic surgery procedure we generally need to see proper before and after pictures.
Delivering consistent quality, liposuction results is more difficult than most people realize. The number of plastic surgeons who truly mastered is this procedure are in a small minority. Being board-certified in plastic surgery with years of experience does not mean somebody has mastered any one single procedure especially not Liposuction. Poorly done Liposuction they can leave people permanently disfigured. I cannot emphasize enough the importance of provider selection and going through a formal, proper vetting process before choosing providers. This is even more important when it comes to Revision Work since Revision Work is many times more difficult than Primary Liposuction. 
To find the best provider I suggest the following guidelines.
To find the best provider, I suggest patient schedule multiple in person consultations with experienced plastic surgeons in their community. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who have similar body or facial characteristics to your own. An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. An experienced provider should in fact have hundreds or preferably thousands of before and after pictures to choose from for commonly performed procedures. 
Being shown a handful of preselected images, representing the best results of a provider’s career is insufficient to get a clear understanding of what average results will look like in the hands of each provider.
There is no correct number of consultations needed to find the best provider. The more consultations you scheduled the more likely you are to find the best provider for your needs. 
Take careful notes during each consultation, especially regarding the quantity and quality of before and after pictures. It’s not a bad idea to bring pictures of your own body/face to use as reference when reviewing before and after pictures. 
The biggest mistake patients make is scheduling only one consultation without properly vetting or comparing providers before scheduling surgery.
Best,
Mats Hagstrom, MD

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