What can I do to treat painful skin in surgical area 2 years post outer thigh liposuction?

Dear Caring170148,

I'm sorry to hear that you're experiencing discomfort this long after your liposuction procedure. Post-operative sensations and symptoms can vary between individuals, and while many side effects dissipate within the initial months, some can persist or even appear later, as seems to be the case for you.

The sensation you describe – akin to a sunburn – could be related to several factors:

Nerve Regeneration or Neuropathy: During liposuction, tiny nerves in the treatment area can be injured or affected. As they heal or regenerate, you may feel different sensations like tingling, itching, or the type of pain you describe. For some, this can take quite some time.

Tissue Adhesions: Sometimes, during the healing process, the underlying tissue can adhere to the skin, creating points of tension which might manifest as pain or discomfort.

Chronic Inflammation: There's a possibility of lingering inflammation in the area, which can produce the kind of symptoms you're describing.

Other Underlying Conditions: Rarely, there can be unrelated conditions or issues in the area that are only noticed after a surgery or procedure.

Recommendations:

Consultation with your Plastic Surgeon: It's crucial to revisit your plastic surgeon or a board-certified plastic surgeon who can evaluate the area in person.

Physical Therapy or Massage: Sometimes, gentle massage or specific physical therapy techniques can alleviate symptoms related to tissue adhesions or nerve issues.

Topical or Oral Medications: Over-the-counter pain relievers or anti-inflammatory medications might be of help, but it's crucial to discuss with a doctor before starting any regimen.

Imaging Studies: If the cause is unclear, your surgeon might recommend imaging studies to rule out other issues or to get a clearer picture of what's happening beneath the skin.

Consider a Second Opinion: If you're not getting clarity from your initial consultations, don't hesitate to seek a second opinion. Sometimes a fresh set of eyes can offer additional insights.

Lastly, I truly empathize with the frustration and discomfort you're feeling. While it's uncommon to have symptoms emerge and persist this long after surgery, it's essential to address them to ensure your long-term comfort and health.

Take care and wishing you a path to relief soon.

Sincerely,

Dr. Katzen

I'm sorry to hear of the issues you are having with pain. At this time you are fully healed from your liposuction procedure. This is not typical for a surgical area two years post op so it is likely unrelated to your surgery. I encourage you to visit with your primary care physician for an evaluation.

What do you describe? Sounds highly unusual and I don’t believe the pain sensations. You are having our related to your previous Liposuction. Unless you had pain starting immediately after surgery. The fact that you have Liposuction is probably unrelated. Thigh abd gluteal pain is not uncommon. These symptoms can be caused by spinal pathology or a condition called sciatica. It typically does not present as skin burning. I suggest you start by having a visit with your primary care Doctor Who can start making an assessment and possibly refer you to an appropriate specialist based on what their findings are. If it’s a skin condition, then your most likely best seen by a dermatologist. If it is a nerve or musculoskeletal related problem with the pain, specialist or spinal specialist may be the right provider to give you an assessment and possible treatment options.
I don’t think you’re going to find plastic surgeons to be full with chronic pain conditions, even if it is related to your previous procedure, which it doesn’t sound like it is.
Good luck,
Mats Hagstrom MD