Lines and creases in abdomen after lipo. Are these permanent? (photos)

Question

So, I had slim lipo on January 10th and I began wearing my binder and undergarment along with T-shirt about two days later and now there seem to be deep lines/creases from the T-shirt and I have been looking all over trying to fix this please help!!! Is this going to be permanent!? I have uploaded two pictures the first is 4 days after surgery and the second I took a day ago. Any advice I would sure appreciate it!

Ryan Neinstein, MD, FRCSC · Answer

We are constantly learning that to get the best results you need post op care. I have a full time lymphatic massage specialist and we also use radio frequency scar melting and skin tightening the combination melts and tightens the scar tissue faster

Jason Emer, MD · Answer

This likely isnt a garment issue as much as it is a loose skin issue. If you are unhappy with your results please speak to your physician and ensure he was a full body VASER HD liposuction physciain wtih expensive experience in body shaping and not just traditional fat reduction.  At this point you should be using compression, RF treatments like venus legacy / exilis ultra / inmode forma or contoura and lymphatic massage to get you through healing.   We always add shock wave therapy such as cellutone, z wave, and eclipse evive to help prevent scar tissue formation and ensure an even and smooth result. It will take 6-12 months to see the final outcome.   If you are unhappy you can get a revision procedure by an expert in VASER HD lipo.  Best, Dr. Emer.

Pejman Aflaki, MD · Answer

Hello
and thank you for the question. I would suggest you wait at least 3-6 months after your surgery. Use Topifoam under the garment to even out the pressure. Talk to your surgeon about lymphatic massages. Best,
Pejman
Aflaki, M.D.
Johns
Hopkins-trained plastic surgeon

Daniel Barrett, MD · Answer

Dear Snatchme1,I understand your concern and it is quite normal to be concerned about the outcome following a liposuction surgery. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides  you will be able to see the final result of your surgery.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hayley Brown, MD, FACS · Answer

You are right in the midst of scar tissue and adhesions which normally occur to various degrees after liposuction. This phase can last for months. Try to make sure your compression garment lies smooth against your skin. Reston Foam is something you can use under your binder to encourage a smooth even skin retraction. Discuss with your doctor about whether or not he or she recommends massage at this stage. I would not expect these early issues to be permanent.

Tania Medina de Garcia, MD · Answer

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 is normal.
If you have any concerns, please follow up close with your plastic surgeon.
Good luck :)

John Rosdeutscher, MD · Answer

Some irregularities in skin after liposuction is normal. You have reduced the volume beneath the same skin envelope. Wearing compression is one of the ways to get that skin envelope to contract down to the new volume beneath it. Massage of the skin will help encourage this also. It already appears to be improving considerably & I have faith that will continue. Most importantly be in touch with your surgeon’s office. 
Best of luck & enjoy the results!

Nicholas Galardi, MD · Answer

Thank you for your question and your photos. You are still very early in your recovery. You should consult with your surgeon and schedule a follow up appointment with them. They will be able to examine your abdomen and provide you with some helpful options on how to fix the indents. Good Luck.

John E. Nees, MD - Account Suspended · Answer

Hi and
welcome to our forum!
Congratulations
on your recent procedure...The procedure of liposuction is an
"insult" to the soft tissues, resulting in swelling which will
initially totally obscure the operative result. The
purpose of a compression garment is to prevent bleeding and to control
swelling. We usually recommend its use for the first 4-6 weeks after the procedure. 60-80%
of the swelling should subside within the first 6 weeks, with the remainder
slowly subsiding over 6-12 months. If swelling is excessive, your plastic surgeon may recommend lymphatic massage, ultrasonic or radiofrequency treatments to hasten resolution.
Your abdominal skin will take some time to redrape over the treated area, usually over 3-6 months. The extent of previous stretch marks (permanent alteration of the skin due to elastic fiber rupture) may limit the amount of skin retraction possible. It is still too early to assess the result.
Continue
followup care with your plastic surgeon.
Best wishes...

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