How to Remove Hardened Scar Tissue 3 Years After Power-Assisted Liposuction?

The single greatest cause for severe scarring after liposuction is aggressive liposuction.  This causes a skin-on-muscle deformity and prevents mobility of the tissues.  This can definitely to be avoided by not performing the procedure too aggressively.  It is sometimes possible to release scar tissue but this of course does not correct the underlying irregularities in fat thickness.

Excessively superficial liposuction, or burns with the laser technique also cause irregularities.  In both cases, these irregularities are very difficult to treat.

In such cases, revisional microliposuction can help, but lifts are often necessary, with direct removal of scar tissue.  However, further removal of fat often just compounds the problem.

Experience is a must in revisional cases.

Fibrosis after liposuction is difficult to treat.  Fibrosis is usually hardened areas of tissue which can be caused by fat necrosis, over-resection of tissue, excess tissue trauma, or unrecognized seromas (fluid collections).

The best methods for treating the fibrosis is 1)prevention and 2)early detection and treatment with massage, external ultrasound, possible fat grafting, and (infrequently) steroid injections.

Some patients need fat injections to fill in dents and others need more lipo in focal areas for under-corrected areas and some patients need both. If scar tissue is hard but not bound down to the underlying muscle the firmness may improve with deep massage, Endermolorie, Velashape, and external ultrasound. Some physicians might use injectable corticosteroids into the area and this may soften the scarebut there risks including depression!