Extremely hard abdomen - will it ever go back to normal? Almost a year since the surgery (Photo)

With only 1 very poorly posted photo very hard to advise if additional surgery could improve your results of lipo of the abdomen. Are you a scar former? Where drains used in the abdomen after the lipo? Did you have an abdominal seroma form? Did you use a clinic for surgery? So you see better posted PHOTOS and answers to many questions are needed. If you want virtual consult with....

If you want us to make an assessment on the outcome of a surgical procedure then you need to post proper before and after pictures. If you don’t have before pictures and contact your provider and ask them to forward the pictures they took. Have you had a follow up with your hopefully board-certified plastic surgeon?
Would you describe is not normal and sounds like someone was far too aggressive removing virtually all of your subcutaneous fat. This leaves people with basically only skin scar tissue and muscle as their abdominal wall. as more and more fat is removed more and more scar tissue forms and when there is so little fat left all you have in the end it’s car tissue that feels firm. Liposuction is a permanent and irreversible procedure. The inherent problem I’m guessing based on the very limited pictures and information is that you now have been left devoid of any subcutaneous fat to speak of on your abdominal wall and instead have an abundance of scar tissue.
Massages will not change the final outcome of liposuction procedures and cannot reverse the problems from having had too much fat removed.
Unfortunately Liposuction is a permanent and irreversible procedure that can leave people disfigured. For that reason I on a daily basis warn people to be very careful about properly choosing providers who have sufficient skill and experience to deliver quality consistent results.
My general recommendations are to not travel long distances for elective surgical procedures to always have multiple in person consultations before committing to having surgery. During each consultation ask each provider to show their entire collection of before and after pictures especially outcomes that do not represent their best results but instead show average results and results that are slightly less than average. simply sing pre-selected sample pictures which most likely represent the best results of a providers career is insufficient to get a clear understanding of what the average results look like in the hands of each provider.
I also recommend reading all reviews on various physician review websites avoiding providers with any significant number of justified negative reviews. The absence of justified negative reviews is more important than having an abundance of positive reviews.
While we cannot make a good assessment based on such limited pictures I think it’s going to be very difficult to improve upon this. Non-surgical treatments will not improve the outcome which is purely based on how the procedure was perfored
Delivering consistent quality liposuction and fat transfer results is more difficult than most people believe it. This is why patients need to put a substantial amount of time and effort into finding the most talented local providers in their community.Revision work is many times more technically difficult than Primary Liposuction saw the importance of finding the most talented and experienced providers at this point goes without saying. Anybody who believes this can easily be improved especially by simply going in and breaking up scar tissue using energy devices like VAS ER should probably be avoided.
First and foremost follow up with your provider. After that if that does not give you any kind of resolution then you’ll probably need to have proper second opinion in person consultations.
Make sure you get all your before and after pictures including a copy of your operative report from the provider who did your procedure.
Finally you may want to consider writing an honest and professional review about your experience to tell others what the procedure was like for you.
Best,
Mats Hagstrom MD