What are the actual efficient treatment to help get the rid of this fibrosis in 2022 ?

Question

I had a 360 degree bbl and had developed fibrosis . Most of them have gone with time but still got some imperfection in my tummy area . What are the actual efficient treatment to help get the rid of this fibrosis in 2022 . Thank you

Jason Emer, MD · Answer

Pending a formal evaluation, you may be a good candidate for a Revision Liposuction. You need a formal evaluation by an expert in body shaping and contouring to determine what is best.

The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into 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 a combination of QWO or Cellfina, 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: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin. 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. See an expert. Best, Dr. Emer.

Daniel Barrett, MD · Answer

Dear lou1108,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

S. Darrell Lee, MD · Answer

Lymphatic massages right after lipo & massage at home with lymphatic massage oil and lipo massage roller.

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

Correcting imperfections requires use of VASER liposuction, Renuvion skin contraction, and strategic tucking of skin that can be done along your pubic region (termed mini tuck) or along the inframammary crease (termed reverse tummy tuck). To determine which maneuvers will be required for you, a virtual consultation with an expert body contouring surgeon would be very beneficial.

Mats Hagstrom, MD (license on probation) · Answer

What most people referred to as fibrosis after liposuction is a combination of excessive fat removal with corresponding scar tissue formation.  both conditions are difficult to reverse. Restoring excessive fat removal with fat grafting is often not successful and aggressive liposuction typically leaves scar tissue which is also difficult to reduce or remove without creating more scar tissue.

After the fact it is a challenging problem. The most important variable is choosing an experienced surgeon who will not leave uneven fat distributions or over treat patients.

I wish I had some better recommendations but over zealous Liposuction is difficult to correct.

Best,

Mats Hagstrom MD

What are the actual efficient treatment to help get the rid of this fibrosis in 2022 ?

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