What are my options for treating abdominal fibrosis 4 years post lipo 360 surgery? (Photo)

Question

Had lipo done near the start of COVID. My doctor did not give me much time towards helping me with my aftercare. Massage clinics weren't open either, but my doctor said to do the massages myself if I wanted to. As a result, I developed fibrosis. I thought my only option to fix this would be surgery, so I decided to wait until having kids to fix the problem. Wondering, what are my best options (surgical or non-surgical) for treatment of this? What are the surgeries specifically called for this?

David Hansen, MD · Answer

A couple of Morpheus Burst treatments are just what the doc ordered.  They should help  this situation a lot and is easy to undergo under local .  Don't get it under topical numbing cream only since it is too painful that way.

Dev Vibhakar, DO, FACS · Answer

Hi,Contour Irregularities after Liposuction are challenging to fix and often times needs a combination of things done to help improve. In you case, initially SAFE liposuction can be performed to help break up the fibrosis and help redistribute the fat along with fat grafting to the indented areas. This can be combined with an external skin tightening technology (like Morpheus) to help tighten the skin superficially. Hope this helps!Dr. Dev

Mathew A. Plant, MD, FRCSC · Answer

Sorry to hear about the situation you are I . While it is unlikely the problem will ever 100% be corrected it is possible to improve it with a combination of VASER and aggressive fat equalization. You may require some fat transfer if certain areas were overharvested, however an in-person evaluation would be required to determine that. I’d suggest having a consultation with a local plastic surgeon with experience in revision liposuction to be examined and get a better sense of what your specific options are

Connie Hiers, MD, FACS · Answer

A closer photo would be more helpful. However, you might get good improvement with Sculptra injections to help smooth out areas. This would take several vials and probably 3 sessions at least 6 weeks apart. Please go to someone who does a lot of Sculptra injections and especially for scarred areas.

Kenneth R. Francis, MD, FACS · Answer

Dear Melissa,
There is currently no valid evidence to support LMD massage after liposuction.  The evidence is circumstantial based on its effectiveness in lymphedema treatment.  Lymphedema is a chronic disease process.  Liposuction is an acute damage to the lymphatic system that will resolve (except in VERY instances) usually over a 6 month period.  Contour irregularities are an unfortunate risk of liposucton surgery and occur more commonly in over aggressive fat removal and in large volume fat removal.  You did not mention whether or not you've had children.  If not, and you are still planning to, continue to wait because pregnancy may be your abdomen's friend.  If so, and/or you are no longer planning for children, your options are limited.  Ultrasound treatments for fibrosis might provide some benefit.  Good luck!

Darryl J. Blinski, MD · Answer

Based on your post in one photo you have grade 23 fibrosis of admin post liposuction. What type of Lipo did you have, visor, laser, Lipo, or other type Lipo? In my opinion without a virtual or in person consultation, I would recommend Jay plasma pickle Fork release fibrosis with aggressive massage postop for 24 sessions. Fee $6000 to virtual consult with

Mats Hagstrom, MD (license on probation) · Answer

to make an assessment regarding the outcome of any plastic surgery procedure, we need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took.
Fibrosis is usually term applied to individuals who had overly aggressive, uneven, liposuction done.
It’s not a condition that happens to some people and not to others.
 it happens to all people when the procedure is done to aggressively leaving an uneven fat distribution.
There’s no way to prevent this and postoperative care, including massages will have no impact on the final outcome. Once the operation is completed.
Your outcome is a pure reflection of your candidacy for the procedure and how the procedure was performed.
Attempting to correct or improve poorly Don Liposuction is very difficult and can lead things to get worse very easily.
 You May or may not be a candidate for revision work.
If you opt for having revision, then make absolutely sure you’re in the hands of someone who is mastered this kind of work.
Improving previous poorly done Liposuction is sometimes done with more liposuction, a.k.a. revision liposuction, fat transfer a.k.a. fat grafting or converting the procedure to a skin tightening operation like a tummy tuck.
Often there are no easy solutions that give impressive outcomes.
Having had pregnancies in between has also changed your anatomy, and this adds a significant layer of complexity to understanding your outcome.
For that reason, it would be important to have before and after pictures from after surgery before you had children if available.
Finding the right provider is generally time-consuming, and involves a significant amount of work.
I usually recommend people have multiple in person consultations before selecting a provider.
For complex situations need for provider selection becomes even greater.
You may want to consider having four or five or even more consultations before even considering if revision surgery is appropriate.
Any provider who thinks this is easy to correct or that some technology or certain device will really have a positive impact should probably be avoided.
Different providers will have different opinions.
As I mentioned earlier to make a quality assessment, we need really good information and that generally is going to entail a complete set of proper before and after pictures and an in person consultation with an examination.
Until a plastic surgeon has access to all the information we can’t really give you a quality recommendBest,
Mats Hagstrom MD

What are my options for treating abdominal fibrosis 4 years post lipo 360 surgery? (Photo)

Answers (7)

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