Steroid injections for post lipo fibrosis? I had waist, upper & lower abdomen & bra back area lipo (Photos)

Question

My surgeon says the dips and lumps are “normal”. I Had liposuctionon my waist, upper and lower abdomen along with bra fat back area My umblicous area seems protruding and feels harder than any other area. I’m afraid I have devoloped fibrosis. I have been looking at possible treatments to reduce the lumpiness after lipo. Corticosteroids injections is one that keeps popping up. What’s the mechanism of steroid injection and is it even a treatment for lipo fibrosis?

Camille Cash, MD · Answer

An in person examination is always best but it appears from your photos that the protrusion that bothers you may be from abdominal wall laxity.  This is not corrected during liposuction, but rather from a tummy tuck.  Steroid injections have their place in addressing scar tissue, but they are not typically used for generalized areas.  Lymphatic massage is helpful after liposuction in the first few months.  I encourage you to discuss your concerns with your surgeon.

Wess Cohen, MD · Answer

Thank you for your question. Treatment for contour irregularities after liposuction depend on how far out from the procedure you are. Immediately a massage therapy can be helpful, along with some other ultrasound devices that offer Similar results. Steroid injections decrease the inflammatory process which can work to soften or reduce scar tissue. This is best done in small localized areas. If you are further out from liposuction, around one year or more, repeat liposuction often with an energy device such as VASER, can break up the fibrosis. Good luck.

Gerald Minniti, MD, FACS · Answer

Steroid work by causing atrophy of scar tissue, but also normal tissue. It is highly controversial to use in post liposuction patients as it is unreliable and can cause permanent damage and contour irregularities. Looking at your photos indicates you would be better served by revision liposuction with an expert. Steroid will only make things worse for you.

Daniel Barrett, MD · Answer

Dear 8661anon,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You need to be careful with steroid shots since they can remove too much fat and cause the skin to discolor.  You appear to have some residual fat which could be removed with liposuction. An examination is needed to be certain.

Steroid injections for post lipo fibrosis? I had waist, upper & lower abdomen & bra back area lipo (Photos)

Answers (7)

Answer: Post lipo fibrosis

Answer: Post lipo fibrosis

Answer: Steroid

Answer: Steroid

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Steroid injections for post lipo fibrosis? I had waist, upper & lower abdomen & bra back area lipo (Photos)

Answers (7)

Answer: Post lipo fibrosis

Answer: Post lipo fibrosis

Answer: Steroid

Answer: Steroid

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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.