What are my options with an old hematoma? (Photo)

Hello !

Based on the information you provided, it sounds like you may have a soft tissue mass or lump on your left buttock that developed after your bicycle accident. It is possible that this mass is scar tissue or fibrous tissue that formed as a result of the hematoma, but it is difficult to say without a proper medical evaluation.

If you are looking to have this mass removed, it is important to consult with a board-certified plastic surgeon or a qualified healthcare professional who can assess the area and recommend the most appropriate treatment option. In some cases, surgical excision may be necessary to remove the mass, particularly if it is large or causing functional issues such as the banana fold you mentioned.

Laser therapy may not be the best option for removing scar tissue or a soft tissue mass. Laser therapy is typically used for treating surface-level skin issues such as wrinkles, scars, or hyperpigmentation, and may not be effective for deeper tissue issues.

As for the risks of blood clots with various procedures, any surgery or invasive procedure carries a certain level of risk. Blood clots can develop during or after surgery, particularly in individuals who are predisposed to clotting disorders or who have a history of blood clots. Your surgeon or healthcare provider will evaluate your medical history and risk factors to determine the best course of action to minimize the risk of blood clots during and after the procedure. It is important to discuss any concerns or questions you have about the risks and benefits of the procedure with your surgeon or healthcare provider.


I hope this helps,
best of luck !

That area is difficult to assess and treat, especially with Liposuction. They are young is prone to having a Contouring The Irregularities, and bulging in an upright standing position. When you’re standing upright, the skin on the back of the thigh is pushed into the buttocks causing skin redundancy, often forming a bulge on many people. Your previous injury may or may not be contributing to the contour. Skin contributes more to contour problems in this area than fat distribution, and Liposuction is often not nearly as effective as people think.
It’s very important to have a very clear understanding of what the problem is. Try leaning forward, which will put the skin under some tension and see if the contour improves. If it does, then, Liposuction is unlikely to make a big difference.
The key to understanding body contour issues is to understand what the underlying problem is. Even mild skin laxity can cause significant contour issues, and if the problem is not directly related to subcutaneous fat distribution in Liposuction is not the correct treatment.
The banana roll should generally not be treated. Expect to get different opinions from different providers. The area is much more difficult to treat than most people think.
I suggest being more selective than you think necessary, and be careful of providers to think this is an easy spot to fix
Best,
Mats Hagstrom, MD