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.

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

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

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!

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

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

Answers (7)

Answer: Abdomen

Answer: Abdomen

Answer: Liposuction fibrosis

Answer: Liposuction fibrosis

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Recommended reading

Everything you need to know about Liposuction Revision

Our mission is to create a world where every investment in modern beauty is Worth It.