I have hard knots and skin ripping/cellulite in areas where I had Liposuction. How can I get rid of them?

It is very difficult to determine the answer to your question without an exam. But in general, grooving or rippling seen after liposuction can be caused by poor technique or when liposuction is performed on very heavy patients. If multiple cannula sites are not used, then the cannulas can cause grooves in the tissues that can be unsightly. If too much fatty tissue is removed from an area, then the irregularities can be difficult to fix. If not enough tissue was removed, the solution is sometimes a bit easier. Your options might include repeat liposuction, repeat liposuction without the removal of fat (just a smoothing out process), or possibly even fat grafting to replace fat if there are areas that have been overtreated.

Patients are occasionally dissatisfied with the results of body contouring surgery. Without photographs it's impossible for me to give you an opinion. Try posting with some photos.

This would be difficult to give advice without photos or an exam.  Additional liposuction or fat grafting or a skin excisional procedure may be options.Kenneth Hughes, MDLos Angeles, CA

Thank you for the question.These knots are probably just scar tissue caused by the liposuction, this is normal as fat cells left behind gather together and make them. I can suggest an UL massage, the ultrasonic waves can help break up the knots and give you best results.Dr. Campos

I'll speak in general terms as the specifics would require an exam.  Generally speaking, irregularities after liposuction are due to uneven suctioning at the initial treatment. This can be because of the nature of liposuction in large volumes or, as it sounds in your case, the danger of liposuction in a thin person without extreme attention to detail. If an uneven amount of fat is suctioned from different areas, they will appear as divots.  If the skin does not shrink adequately it can appear as ripples. The former would be expected to get worse with weight gain but the latter would be expected to get better with weight gain. Revision liposuction is a challenge and requires a skilled and well trained surgeon willing to pay a lot of time and attention to detail. Getting it some better is fairly easy but getting it fixed is fairly challenging.  It is likely best to find a board certified plastic surgeon who has some experience with this sort of thing and who makes you feel comfortable.  Go see a few surgeons, all of whom should be plastic surgeons certified by the American Board of Plastic Surgery, until you find the one you feel confident in.  Once you have had a bad experience, trust in your surgeon that he or she will work to give you the best possible outcome is key.Best,Dr. Pyle 

After having Smartlipo
wait at least 6 months to see your final results. If you have not seen an
improvement in your body contouring I recommend consulting with your surgeon.
At this point you may want to have a touch-up procedure or possibly Cellulaze.
Cellulaze will smooth over the skin while making the skin tighter. Good luck!

Thank you for your question but it is really impossible to answer without seeing and examining you. I would go back to my original surgeon and see what he has to say for usually there is something that can be done

Dr. corbin

I'm sorry you are unhappy with your results. My thought is that it is necessary for you to be seen in person by your surgeon before recommendation can be made. If you are not happy to return to him/her you can contact a surgeon certified by the American Board of Plastic Surgery. In general, there are several options for revising liposuction. Fat grafting in the area of contour depression or additional liposuction of surrounding areas can give a smoother transition. In some cases excising extra skin may also be helpful. Best of luck to you.