Abdominal etching revision - the lines are too harsh. How can I improve this? (Photo)

Question

I had abdominal etching and feel they are to harsh and straight. I wanted to lighten the straight lines and not have them so prominent when I pull my skin tighter the lines don’t seem to harsh, when I don’t I don’t like the look. What do you think of scultpra? I heard my only option is fat grafting ? Im Lost and need help

Jacob Carlson, MD · Answer

The way the lines are created in abdominal etching is by doing very aggressive liposuction to remove the fat between the skin and the abdominal wall fascia in those specific areas. When we do that, it obviously removes the volume from those spots, but with healing, it also creates scar tissue along those lines. Using something (like Sculptra) to replace the volume that has been removed is an option, but it may be difficult to fill in those spaces and work around the scar tissue that has been formed. Fat transfer to those areas would have that same technical difficulty, but if you are under general anesthesia for that, the surgeon could attempt to break up or release some of the scar tissue.
Alternatively, a surgeon could liposuction the remaining fat to make the lines appear less prominent. That approach depends on how much fat was left behind. Based on the photo you submitted, it's hard to tell if there's any significant volume of fat in the central abdomen or flanks where liposuction could be done to determine if this is a viable option.

Abdominal etching revision - the lines are too harsh. How can I improve this? (Photo)

Answers (1)

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