I was badly burned from Vaser liposuction, I don't know to what degree, how can I treat this? (Photos)

Question

Hi, 4 months ago I whent for hi def vaser liposuction. It was very traumatic and I was told by my surgeon that my skin was very sensitive In the hospital the nurses kept waking me up at night to apply desitin the left side of my waist. When I got home with so much pain It was then I realized I had horrible burns on my waist. It has been four months and it still hurts very much, it's a wierd kind of pain, sometimes it burns but I feel the scar the whole day. The scar is horrible.

Jason Emer, MD · Answer

this needs extensive lasers, stem cells, and topical therapies for these types of scars and discoloration.  See an expert.  Best, Dr. Emer.there are many options for hypertrophic scars:
1. vascular lasers (yellow laser, vbeam, excel v)
2. fractional lasers (fraxel, erbium, co2)
3. microneedling/PRP
4. silicone based scar gels with growth factors
5. excision
see an expert.
Best, Dr. Emer.

Mats Hagstrom, MD (license on probation) · Answer

Ultrasound assisted liposuction or VASER generates ultrasound energy but does not generate heat. The injuries that you had to your skin are not thermal injuries but are more likely from trauma to the dermis most likely causing damage to the underlying blood supply. In the end the true mechanism of skin injury is not all that important. You've developed scar tissue that should be managed. I Deleigh they should've been covered it with silicone sheeting starting about 3 to 4 weeks after the injury.  Excessive scar from Asian on the skin can be managed with a variety of tools. Silicone sheeting is the safest and easiest but it's limited. Steroid injections are sometimes helpful if someone is developing excess of scar tissue. No surgical intervention should be done within the first 12 to 18 months.  Skin the scars take a long time to mature. They will improve dramatically with time alone. If the final result or appearance of your scars are on acceptable than a scar revision( cutting out this car and sewing the skin edges together) May be an option.  Despite your displeasure or unhappiness with the outcome it is important to maintain follow up with your provider.  I'll plastic surgeons are well-trained and scar management and he or she may be able to help you even if their liposuction skills need to be fine-tuned.  It's also very important for doctors to get the feedback of how their patients are doing so that they can change their techniques to deliver more consistent and better results in the future.  Hopefully the pain you're experiencing will also get better with time.  Best, Mats Hagstrom MD

Randy Dean, MD - Account Suspended · Answer

Hi and
welcome to our forum!I am sorry that you have sustained a significant burn injury to the skin, an unusual but significant complication of vaser liposuction. You are presently demonstrating hypertrophic scarring and pigmentary changes.
A
hypertrophic scar represents an abnormal response to tissue injury, resulting
in deposition of excess collagen. Its prevalence is increased after infection
or in wounds under mechanical stress. They may become chronically
irritated.
There
are non-invasive and invasive methods to treat these entities.
Hypertrophic scars often spontaneously regress with time, the final scar
noted when the redness of inflammation has subsided (usually at 12-18 months).
The
application of pressure and immobilization of a scar with silicone gel
sheeting appears to hasten resolution of the process. Various creams are
available, but their efficacy is questionable. Healing scars in fair skinned individuals are initially quite prominent, taking AT LEAST 12 months to achieve maturation, often longer ( up to several years).  The healing process involves ingrowth of blood vessels into the healing scar to provide added blood supply. This results in the red color noted on the skin surface. During this time, it is important to practice sun protection with frequent and liberal application of sunscreen.  As the scar matures, the color will fade significantly.
Laser
treatments are available with varying degrees of success. 
Injection
of corticosteroids directly into the scar may flatten the scar and
alleviate symptoms, but may also broaden the scar and cause pigmentary change
in the skin locally. For this reason, we usually delay its use for as long as
possible.
Surgical scar
revision is an option to consider if regression is not noted at 12-18 months after
the procedure. This is often successful in treating hypertrophic scars. Do not rush into revision. Wound healing is a complicated process and takes a long time. 
As you are
symptomatic, you may be a candidate for steroid injections.
Speak
about your treatment options with your plastic surgeon.
Best
wishes...

Baldev Singh Sandhu, MD - Account Suspended · Answer

This is highly unfortunate. Energy from any device used to destroy fat can also injure the skin.
That applies to laser lipo as well vaser and other techniques also. The real skill is in the surgeon using the technologies within their safety limits. 
Presumably if this surgery was done in a hospital setting the surgeon had credentialing to use the machine so you did all the right things in selecting a qualified surgeon but now that this incident has occurred it should be managed like any other burn and it will take time to resolve and the end sequelae will most likely look like that too. There are many options to improve the scars from burns but this will all take time and patience. Sorry there are no quick fix solutions

I was badly burned from Vaser liposuction, I don't know to what degree, how can I treat this? (Photos)

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