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!
September 16, 2022
Answer: Mini tummy tuck with Liposuction Revision 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
Helpful
September 16, 2022
Answer: Mini tummy tuck with Liposuction Revision 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
Helpful
