Hernias are, at times, discovered before, during or after liposuction. It is unlikely that liposuction would cause a hernia to form. The hernia represents a tear or significant weakness in the muscle layers of the abdomen that allows for intra-abdominal contents to bulge through the muscle layer. There are several layers of muscles to either side of the belly button, whether above or below. Even if someone were to push a liposuction cannula through the muscle layers, it would not cause a sufficient opening to create a hernia, though it could cause injury to internal organs.You need an evaluation to see what this represents. Hernias typically do not cause muscle spasms. Intestinal contents can get stuck in a hernia, causing excruciating pain, which can potentially be dangerous. This is referred to as a strangulated hernia. A hernia can be diagnosed by either physical examination, a CT scan or, at times, an ultrasound. First and foremost, follow up with your plastic surgeon to see what he or she has to say. Since all board-certified plastic surgeons have extensive training in general surgery, they should have no difficulty identifying a hernia. In case the doctor who performed your liposuction is not a plastic surgeon or is not available, then consider visiting your primary care physician who can evaluate you and possibly refer you to a general surgeon.The area of concern obviously represents something. Your plastic surgeon would be your best bet in terms of finding out what this is.Best of luck,Mats Hagstrom, M.D.
