Hard mass on inner thigh 9 months post liposuction, could it be necrosis? (Photos)

Question

Hi, so i didnt know where else to go after seeing a few doctors and getting an ultrasound and cat scans. I hope someone can help. I am 9 months post surgery. I had a tummy tuck, lipo 360 and lipo on my inner thighs. Its noow has been about 3-4 wks that a hard mass has appeared in my inner left thigh. Its red, warm and bothers more than it hurts sometimes. Somedays it looks bruised and not red and today i have noticed that its getting bigger. Can it be necrosis? Im scared

Daniel Barrett, MD · Answer

Dear Loving540136,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Cassie Nghiem, MD · Answer

I hear your concerns. It's hard to tell what it is just based on the pictures alone. What did the US and CT scan show? I would consult a plastic surgeon with those images and results so they can discuss the treatment options.

Darryl J. Blinski, MD · Answer

Phots posted are very hard to tell exactly what is going on. Best to virtual but also obtain ultrasound of that inner thigh to rule out seroma vs fat necrosis. Most likely excision or lipo area. Fee $5,000.

Mats Hagstrom, MD (license on probation) · Answer

This is unusual and because of that it needs to be worked up thoroughly.
Liposuction results are final at three months after surgery and then that point there should be no significant changes except the color of the incisions 
Redness with warmth in the cage and inflammation and this may represent an infection. 
Typical bacterial infections present early after surgery but there are unusual infections that behave differently. I suggest getting an evaluation by an infectious disease specialist. A definitive diagnosis may require a biopsy or at least taking tissue cultures. Any tissue that would’ve died (necrosis) from liposuction would have been resolved by now.
This could by a mycobacterium type of infection and should be evaluated by infectious disease doctor.
What doctors have you seen? What have they said this is? 
Best,
Mats Hagstrom, MD

Hard mass on inner thigh 9 months post liposuction, could it be necrosis? (Photos)

Answers (4)

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