2 months post lipo - What can I do with the dimpling? (photo)

Hi Sandra. Swelling post-lipo can persist for months, so it's important to be on the right after care protocols. I have my patients wear compression for 3 to 6 weeks straight then overnight for 3-6 months after their procedure. I suggest adding hyperbaric oxygen and lymphatic massage along with compression to help decrease swelling (my liposculpture patients receive lymphatic massage treatments every day for a week following their procedure; twice per week for the following month; and then once per week until healing is complete). To improve your final results, I also recommend adding Vanquish for further fat removal; truSculpt iD, Exilis, Forma, and Venus Legacy for additional skin tightening; and Cellutone / ZWave to make the skin smooth, remove scar tissue, and improve the skin’s appearance.It will take 6 to 12 months to see the final outcome. Ultimately, if you are unhappy with your results, you can always get a revision procedure to address any dimples, indentations and irregularities. You need a formal evaluation by an expert in body shaping and contouring to determine the best course of action. Best, Dr. Emer

Hello.
Great question. I am sorry for your post op difficulties. However, you are still early in your recovery period, it can take up to six months to see your final results. If it is not resolved then, you may need liposuction revision. 

Dear Sandra929,
I would have to examine you but it appears that this is a contour irregularity after liposuction.  This happens often when areas the undergo liposuction are not feathered appropriately.
The good news is that it can be fixed and I have done so with good results before. The revision can often be done under local as well.While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Dear Sandra929,I am sorry to see that you have some contour irregularities and asymmetry after your liposuction. At 4 months, you will continue to recover but in my experience it is unlikely those areas will resolve. Massage and US will help, but if the area was unevenly or over-aggressively contoured the dimples will probably persist. Once formed, these depression and dimples are difficult to correct, although I have had some success with fat grafting. Although there are many qualified surgeons overseas, the lack of consistent follow-up is a repeated theme that I have seen lead to complications. Good luck,Nirmal R. Nathan, M.D.Certified, American Board of Plastic SurgeryMember, American Society of Plastic Surgeons

I there and thanks for your question and photos.  As the other surgeons mentioned, you are still very early in your recovery.  However, there does appear to be some unevenness of your abdomen/scar tissue.  This is common in the early stages of liposuction and can be resolved with massage.  I recommend massaging the area a few times a day to break up any scar tissue and smooth out any dimpling.  I also suggest regular follow ups with your surgeon to ensure adequate healing.  Best of luck and hope this helps!

Sandra I appreciate your concern, however it is still early in your recovery and it appears that the skin irregularities on your abdominal region probably are secondary to the elastic garment and you may want to find an elastic garment online which reaches all the way up to your superior abdominal region. The irregularities of your lower back may not improve with time. Since your plastic surgeon is far away, I would recommend seeking out the advice of the board-certified plastic surgeon in your area for followup care, but you will have out of pocket expenses for the visits. Good luck!

Based on your early photos it's too hard to predict what you will end up with.At this point I would massage the areas constantly and WAIT.You may require some more work in the future as a second stage. The area in your back will probably resolve completely.It would be nice to see before photos for a comparison.
Our office can do a private Virtual. Consultation with you if you would like for further discussion.Good luck.

While I agree with many other responses you have received that it is early in the healing period, it does appear to me that there are some irregularities in contour.  I do not expect that these will smooth out adequately with time but for the present there really isn't much to do except wait and perhaps massage the areas.This is, of course, one of the reasons that Medical tourism is not recommended since you do not have then benefit of seeing and following up with your surgeon.  I do recommend that you contact a Board Certified Plastic Surgeon in your area for evaluation and perhaps they can offer some assistance.  Naturally you could always return to your surgeon for follow up.  Good luck!

Hello dear!!
Thanks for the question and provided information as well.
You are still early on the healing process, it can take up to six months to see your final results, so please be patient. At the stage you are in, inflammation and lumps are normal.
I suggest my patients to try the lymphatic massages and to use a full body compression garment, 24/7 for the first 3 months, and after that, for 12 hours a day for 3 more months, to get the best results.
It is important for the compression garment to be very tight, for it to help with the swelling, after surgery. Please, follow up close with your plastic surgeon.
Good luck :)
 

your results are close to final. Do not expect significant change by waiting longer. The results are based on how the procedure was performed. Compression garments cannot change the results of liposuction. If you want a more even contour then you will need to undergo revision surgery. There's nothing you can do without surgical intervention and they will give you a normal contour. I disagree about your assessment of your provider. I suggest consulting with local board-certified plastic surgeons. I cannot emphasize enough the importance of follow-up care. Best, Mats Hagstrom M.D.