Small adhesion after revision lipo. How likely is it to stay? Is there any particular treatment I can get? (photos)

Question

Hi! I had a mini abdominoplasty with lipo (upper stomach, flanks) an year ago. The results were very satisfactory, except for the upper stomach lipo that required a revision as not enough fat had been removed. The revision was successful, but 3 months after I still have a bump above the bellybutton. My surgeon said it's a small adhesion and asked to massage hard and frequently. I feel hard tissue underneath. How likely is it to stay? Is there any particular treatment i can get? Thanks!

Daniel Barrett, MD · Answer

Dear Fabulous798350,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You might consider Scuptra injections to help rebuild that area. fat transfer might have difficulty staying if there is too much scar tissue.

Camille Cash, MD · Answer

It's difficult to know for sure without an exam, but it appears that the bump that concerns you is a contour irregularity from the liposuction.  It does not appear to be an adhesion from the photos.  If you are not noticing any improvement with massages you may need to consider further liposuction or conversion to a full tummy tuck to better address the skin laxity.

Mats Hagstrom, MD (license on probation) · Answer

I think your situation is a bit complicated and without having been present during your surgeries it’s very difficult to know exactly what was done.Having a mini tummy tuck will thin out the fat layers by pulling the skin tight below the belly button and performing liposuction above the belly button is not the same thing. if you imagine pulling a rubber band tight it becomes thin as it gets pulled tighter and tighter. This is how the fat layer of the lower abdomen behaves from the mini tummy tuck. Because you didn’t have a full tummy tuck the upper abdomen still has skin laxity. I don’t think your skin is touching the muscle(adhesion) it looks simply like an uneven fat distribution.Once surgery is completed there isn’t really much anyone can do to change the outcome.Typically we don’t address surgical outcomes within the first six months to allow scar tissue to mature and all the swelling to go down.Overzealous Liposuction is difficult to correct.Typically treatment options include revision liposuction, fat transfer or a combination of both.continue following up with your provider.Best,Mats Hagstrom MD

Small adhesion after revision lipo. How likely is it to stay? Is there any particular treatment I can get? (photos)

Answers (4)

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