How can I remove and smooth out scar tissue lumps from previous lipo?

Question

I'm not that worry about lumps from uneven fat, cuz I am planning to use sculpsure to even out. But there is lumps that from scar tissue which I can see clearly depends on light. What's can I do?

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Some swelling and lump formation may occur after SculpSure and should subside after a few weeks. Please consult with your board certified facial plastic surgeon and medical team if it continues.
Best wishes,

Jason Emer, MD · Answer

Sculpsure is good for removing stubborn areas of fat, but lacks body shaping. For best results with liposuction irregularities, I recommend a hi definition procedure like a VASER liposuction revision. I use VASER HI DEF with ThermiRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

Rosalind Hudson, MD · Answer

After liposuction there are 'true' scars in the skin where the cannula is inserted.
The lumpy areas are usually not clumps of scar tissue, since the liposuction cannulas ordinarily do not cut the fat tissue. The lumpy areas are usually "hardened" (medically called indurated) fat lumps, created in the early phase by the macrophages (white blood cells that remodel the injury) that infiltrate the fat.
If there are clumps of dead fat, then another kind of collagen producing cell, called a fibroblast, may try to wall off this clump by building collagen.
Either way, massage after warm epsom salt bathes can help if you are between 3 weeks and 3 months out. (only shower the first 3 weeks post procedure)
After 3 months, and up to 6 months post-op, we have had patients respond to ultrasound treatments that create deep tissue warmth, increasing circulation. (This kind of ultrasound is used by physical therapists to increase circulation in injured tissues - it is completely different from diagnostic/imaging ultrasounds). Not every surgical office has an ultrasound machine. You may need to see a physical therapist to get the ultrasound treatments.

Craig Schwartz, DO · Answer

It is not at all uncommon to have some degree of irregularity, or even some minor lumpiness following lipo. Depending on how far you are out from your procedure, some of this may diminish over time, as it can take 4-6 months to see the full contraction with lipo, and see your final results. It is probable that what you are calling scar tissue is really just some uneveness of the underlying subcutaneous fat. If this remains an issue over time, you could undergo a minor revision procedure to address it, but the easier and simpler approach would be to have follow-up treatment sessions with a non-invasive body contouring device, such as SculpSure or Coolsculpting, which can be directed towards specific areas of concern.

David Finkle, MD · Answer

SculpSure is a wonderful way to reduce subcutaneous fat without surgery.  But, it does not and will not change scar tissue.  You may need a surgical procedure to help.  Please see a Board Certified Plastic Surgeon to assure the best possible result.Good Luck!

Kent Holtorf, MD · Answer

Wihtout actaully examining you it is difficult to tell if you have scar tissues or just fat build up from your previous lipo.  I would suggest going to a board certified doctor or facility you trust for a consultation.

David E. Berman, MD (retired) · Answer

what you are calling scar tissue may be left over fat from your previous liposuction. you should see a board certified plastic surgeon who offers both Sculpsure and Smartlipo, so they can advise you which option is best for you.sincerelydavid berman md

How can I remove and smooth out scar tissue lumps from previous lipo?

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