Pain and swelling years after laser lipo (Photo)

Thank you for sharing your concerns about the persistent pain and swelling you're experiencing after your laser lipo procedure, and for providing your history and photograph. Based on your description, it's possible that scar tissue formation could be pressing against a nerve, leading to the symptoms you're enduring.

Potential treatment options include:

Steroid Injections: Medications like prednisone and Kenalog can be injected into the scar tissue to help reduce inflammation and relieve pain.
5-FU Injections: 5-Fluorouracil (5-FU) can sometimes be used to treat hypertrophic scars or keloids, which might alleviate your symptoms.
Scar Tissue Resection: A surgical approach might be considered if non-invasive treatments don't offer relief. This would involve making an incision in the affected area and excising the scar tissue.
Nerve Ablation: As a last resort, if the pain persists, consulting with a pain management specialist about ablating or cutting the affected nerve could be an option.
It's imperative to consult with a board-certified plastic surgeon or dermatologist to assess the exact nature of your issue and recommend the best course of action tailored to your specific situation.
Wishing you relief and the best possible outcome.
Sincerely,
Dr. Katzen

Chronic pain after liposuction is very rare from my experience. An investigation of the pain and swelling is warranted. Start with a visit to a medical doctor who obtains a detailed history, performs a comprehensive physical exam, obtains labs, and probably most importantly, leads a radiologic work-up. An ultrasound is simple, low cost, and easy to obtain. It would give insight and likely will help guide treatment. Further anatomical evaluation would be with a CT scan and/or MRI. Treatment may be surgical or non-surgical. The work-up will dictate the decision tree.

Best to do I person opinion to see with ultrasound examination if any findings. Sounds like scar internal tissue around nerve. Only surgery might help?