How to correct mottled skin after Liposuction? (photo)

Question

I have severe skin mottling after liposuction (which was botched; I am scheduling fat grafting for that). My waist is a hot mess now; my question is, what can be done for mottled skin? It gets very blotchy when cold, and fades significantly when hot. This is 2 1/2 years post op, so it is not going away on its own...

Jason Emer, MD · Answer

There is really no treatment for this.  I have treated many patients with pulsed dye laser, Excel V laser, and IPL with some results.  Recently have been using velashape radiofrequency and IR technology with promising results.  This is a complication I see often in my revision practice that does not have great treatments.  Fat grafting does not help this.  Best, Dr. Emer.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your picture. This can be a difficult problem. I don't think the fat grafting is going to have any effect on the skin. The mottled appearance may be due to hyper pigmentation. I agree with Dr. Pozner IPL may be helpful.

Darryl J. Blinski, MD · Answer

Thanks for the RealSelf posting. In my over the internet opinion additional surgery as in fat grafting is a 50/50 option. The amount of fat needed would be in the 1 liter range. Which it appears YOU do not have available. Than I would no hands techniques only use nano fat grafts (more liquidly or spinning to liquify the fat). As for the waist as I call the shark bite area, additional aggressive lipo sculpture is needed. Best to seek ONLY IN PERSON opinions from board PSs in your area...

Jason Pozner, MD · Answer

My preference for treating mottled skin after liposuction is pulsed light (IPL or BBL). Treatment is noninvasive and uses light to remove the underlying pigment. Different filters are used if the area is redder or browner. Treatment does not hurt. Probably will need 4-6 treatments spaced monthly.

How to correct mottled skin after Liposuction? (photo)

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Answer: Mottled skin after liposuction

Answer: Mottled skin after liposuction

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How to correct mottled skin after Liposuction? (photo)

Answers (4)

Answer: Mottled skin after liposuction

Answer: Mottled skin after liposuction

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Recommended reading

Everything you need to know about Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.