Hello Abetterme_17, Thanks for your questions! Persistent cases of irregularities due to excessive fibrosis may require a combination of touch-up liposuction along with Autologous Fat Transfer (AFT) to be adequately corrected. The surgeon can suction raised areas around the depression and fill in the depression with autologous fat grafts (from patient’s own body) to achieve the best possible, smooth contours. If the skin is loose then it can be surgically removed by excision. Moreover, 4D VASER Liposuction may be useful treatment for cellulite and may cause less contour irregularities. Although irregularities of the skin are possible following liposuction, this side effect is diminished by the minimally-invasive 4D VASER Liposuction using micro-cannulas (less than 4 mm in outside diameter) and the criss-cross technique of liposuction. Using micro-cannulas for liposuction can require a little more time than using larger cannulas, but the former ones permit both the removal of more fat and smoother results. Furthermore, VASER Liposuction is clinically proven (based on randomized clinical studies) to cause 53% skin retraction relative to other standard liposuction methods, which in turn reduces the risk of occasional irregularities of the skin. Liposuction patients can also actively contribute in preventing contour irregularities by following their surgeons’ post-operative protocols. In this respect, I usually recommend them wearing specialized compression garments around the clock, starting immediately after surgery, during six months, to reduce swelling and help their skin contract smoothly to their new body’s contours. Since ill-fitting garments can lead to contour irregularities, I advise my patients about the correct method of using them, to limit folds and creases in the garments, and regularly check if they are worn properly. Additionally, at least ten lymphatic drainage massage sessions are required, starting 24 hours after the procedure, to eliminate excess lymph fluid, alleviate swelling and discomfort, and also prevent complications such as seromas (fluid collection) and contour irregularities (indentations, and/or fibrosis). In my experience, manual lymphatic massages by their own have proven successful, in the majority of cases, in achieving uniform removal of swelling and ensuring smooth contours. Best regards! Dr. De La Cruz.