What should I do for fibrosis? Too much lipo? (photos)

Question

I've had smart lipo in 2011 then in 2017 I received lipo but I had dents that looked like cellulite. I found out months later it called fibrosis. I went in 2019 to get a bbl and for him to fix my fibrosis and make it " go away " it made it worst . What should I do ? I've done about 50 massages and compression garments.

Trevor M. Born, MD · Answer

Dear DG727Thank you for your questions and photos!  I am sorry that you are unhappy with the results - liposuction irregularities are challenging .  Depending on how fat fat is remaining in the area- SAFELIPO is probably the best option - and very technically challenging .With Warm RegardsTrevor M Born MD

Jason Emer, MD · Answer

this type of fibrosis or irregularity needs a proper evaluation sometimes it requires a tummy tuck to cut all the scar tissue, re lift the tissue, fat graft and then reposition the skin. sometimes revision lipo with ultrasound and internal RF can help.  often there is improvement when done by a revision expert, but perfection is tough. 
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Daniel Barrett, MD · Answer

Dear DGZ27,
while there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.
Daniel Barrett, MD 
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Kenneth Hughes, MD · Answer

It is always the PS and not the method that produces the results.  I perform a great number of liposuctions revisions and they are difficult, but I think improvement is realistic in your case.  While you cannot obtain complete perfection, I have used BodyTite successfully to improve the results.  I would need to see you in person to determine if BodyTite would be a treatment option for you.

Connie Hiers, MD, FACS · Answer

Just based on your photos, you appear to have had too much fat removed in certain areas. Fat transfers can be done, or you can get improvement with Sculptra injections done as a series of injections. For patient who had little or no fat to transfer, I have gotten fairly good results with Sculptra. Please choose a surgeon who has had experience in fat transfers and Sculptra injections in scarred areas. Garments and massage probably will not be helpful.

What should I do for fibrosis? Too much lipo? (photos)

Answers (9)

Answer: What should I do for fibrosis? Too much lipo? (photos)

Answer: What should I do for fibrosis? Too much lipo? (photos)

Answer: Liposuction

Answer: Liposuction

Recommended reading

Everything you need to know about Liposuction Revision

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

What should I do for fibrosis? Too much lipo? (photos)

Answers (9)

Answer: What should I do for fibrosis? Too much lipo? (photos)

Answer: What should I do for fibrosis? Too much lipo? (photos)

Answer: Liposuction

Answer: Liposuction

Browse related questions

Recommended reading

Everything you need to know about Liposuction Revision

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