Does Traditional Liposuction Always Leave Fibrous Scar Tissue and Bruising?

I had liposuction of the inner and outer thighs in January 2011 and the end result is not so good. I have uneven scar tissue on both outer thighs but the left outer thigh is worst. My inner thighs still have bruising every now and then. I'm not sure what to do at this point. Do I need more surgery or would a laser help smooth out the lumps? Not sure what can be done about the bruising.

Doctor Answers 4

Fibrous inflammatory changes and bruising after liposuction

Tumescent liposuction is a controlled micro-traumatic event to permanently remove fat pads by your experienced core board-certified aesthetic physician. Fibrous changes can be expected and is normal part of inflammatory process after tumescent liposuction that can take up to a year for the scar tissue to remodel. The more aggressive the tumescent liposuction, the greater the risk of prolonged fibrous inflammatory changes. We typically perform Vaser Shape (external Ultrasound) to facilitate resolution of fibrous inflammatory changes associated with liposuction. To minimize bruising, one should consider Smartlipo Triplex which utilizes combination of 3 different wavelengths to significantly minimize post-op bruising and to maximize skin tightening.

Bay Area Dermatologic Surgeon
4.8 out of 5 stars 12 reviews

Scarring After Liposuction

All liposuction will leave scar tissue and bruising to some degree. There is a tradeoff between a more aggressive approach with better results and a less aggressive approach with worse results and a lower degree of scarring. Normally, the lumpiness will smooth out significantly nine months to a year after surgery. After this amount of time, as with your case, the patient should meet with their board certified plastic surgeon to discuss possible revision surgeries such as fat grafting or correction liposuction.

Jaime Perez, MD
Liposuction Specialist
Plastic Surgery Center of Tampa

Jaime Perez, MD
Tampa Plastic Surgeon
4.8 out of 5 stars 75 reviews


Sorry to hear about your bad experience. It sounds like you had regular liposuction without lasers etc. Although you are unhappy with the result you need to know that you would have been as likely to be unhappy if laser, ultrasound etc were employed at the surgery. It is the surgeon and patient that make the difference not the machine just like its the tennis player more than it is the tennis racquet that wins at Wimbledon. If the main problem is scarring in the fat layer that may be softened with endermology but since you are over a year out from surgery that may be less effective.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 2 reviews


Having Liposuction you do have a great chance of getting scar tissue. You have a few options, getting revisional surgery as to Vaser Assisted liposuction. It might be to late but you can also message the areas, a deep tissue message to break down the scar tissue. You should see a PS so they can review your options.

Stuart B. Kincaid, MD, FACS (in memoriam)
Beverly Hills Plastic Surgeon
3.3 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.