What Can be Done for Uneven Fat on Calf 1 Year After Liposuction?

Thank you for the question.

Although I understand your concerns, you should be aware that complete correction of skin contour irregularities after liposuction surgery is difficult. Some improvement may be possible with fine  cannula liposuction of prominent areas and fat injection in relatively depressed areas. This procedure should be done by a well experienced plastic surgeon (preferably  with extensive experience with fat injection).

Best wishes.

The fat layer over the lower legs below the knees is very thin and liposuction can easily result is some irregularities and unevenness. Now that it has been a year, you are looking at the final result. At this point, there are no massage or any external energy treatments that will provide improvement in its appearance. Whether addiitonal spot contouring with small cannula liposuction, fat injections or some combination would prove helpful requries a careful physical examination to determine if revisional surgery is worth it. 

I would recommend that you return to your plastic surgeon for evaluation. You may need a revision. Laser would not be beneficial. Without a photo, it is impossible to assess whether additional fat remains that could easily be suctioned, possibly even under local anesthesia in the office if the pockets are localized, or what else could be done to improve the appearance of your legs.

It is difficult in general, and perhaps particularly so on the lower legs, to "smooth" out uneveness.  This is caused by a variety of factors, including skin tone, amount of fat, the exact procedure done and the areas in which it was done, and others.  But "fixing" this can by tricky.  I normally recommend a combination of additional lipo for any areas that are relatively full (however couter-intuitive that may sound) along with fat grafting for the relatively depressed areas.  This combination is often effective in improving the appearance of the area in question, even if returning it to exactly what you would want is not possible.  I would suggest that you have a few consultations with different surgeons in your area before proceeding with any additional surgery.

I hope that this helps, and good luck,
Dr. E
 

Hi.

These areas are very unforgiving and require meticulous technique. So some irregularities can happen occasionally.  You can usually get improvement with touch up liposuction and fat micro injections.