How long should it take for the "hard knots" to go away? What is the treatment for getting rid of the knots?

I am 8 months "Post Op" with the Vanquish treatment plan and I still have two very large hard knots on my right side. The Med-Spa that performed the treatments, has told me that the knots are there because my Lymphatic system couldn't break down the dead fat cell!

Doctor Answers 3

Knots after Vanquish.

Daily massage to the areas should be helpful. Recommend applying Cellutone or Z-wave (acoustic wave therapy) to the areas on a prescribed schedule, to significantly reduce the knots.


Sounds like you had some areas that collected the heat and hardened. We recommend massaging those areas immediately after treatment and continuing until it fully breaks down. I would still massage those areas daily even after 8 months because you should be able to get those areas to soften. Also, follow up with the physician who treated you.  Hope this helps.

Alan B. Brackup, MD, FACS
Philadelphia Oculoplastic Surgeon
5.0 out of 5 stars 26 reviews

Non Invasive Fat Removal -- Vanquish, Coolsculpting, Ultrashape, Sculpsure, Cellutone, Z Wave, Venus Legacy, Exilis

I suggest starting massage and z wave / cellutone treatments with venus legacy or exilis.  They should improve the knots.  Go to a reputable body shaping physician.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 168 reviews

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