Steroid injection for lipo fibroids? (photos)

Question

It's been 7 months since I had steroid injection on my abdomen . I was left with bumps on my belly after lipo and the steroid was suppose to help it . At first my fibroids went a way but now I'm left with white spots and looks like dents.it looks better now then what it did 2 , 3 months back but will this fully revert back to normal. Is this reversible ?

Vincent N. Zubowicz, MD · Answer

The steroid effect that you see in the abdomen may very well be permanent. Steroid injections are almost never indicated after liposuction and should be done very cautiously.

John L. Burns Jr., MD · Answer

On of the side effects of steroids in addition to softening scar tissue is that they will thin the skin and can cause pigmentary alteration.  You might consider a fat injection at some point to even out the skin surface.

Rebecca Jackson, MD · Answer

Steroids are used to break down tissues and decrease inflammation, however they can have significant side effects such as literally digesting subcutaneous fat and also cause changes in pigmentation that may be permanent. Microfat injections may help correct  the areas that are depressed and restore better contour for you.I would not revise this with more liposuction and I would stay away from steroid injections, you need to have some fat replaced to correct your dents, at least thats how it looks from your pictures. Best of luck, it is correctable.

Paul J. Leahy, MD · Answer

Thank you for the question and photos. Steroid injections are known to cause damage to fat cells and therefore making them "shrink."  It's somewhat unpredictable though, and does have some other side effects such as the decreased pigmentation. Unfortunately, that can be permanent. You do have other options for treatment and so I'd recommend visiting a local PS for a consultation. Best wishes.

Mats Hagstrom, MD (license on probation) · Answer

Correcting poorly performed liposuction can be difficult and at times not possible.Much has to do with how much of that was removed.Overtreatment with liposuction is by far the most difficult to correct. Treatment options generally include revision liposuction and or fat transfer.Revision liposuction is based on evening out the contour by removing fat in the remaining thicker area.  Fat grafting or fat transfer involves removing fat from other parts of the body and grafting the fat into the shallow areas.  Fat grafting becomes Limited when areas have been over treated. In order for fat transfer to be successful there has to be a sufficient to base of tissue to graft into.Areas that I've been over treated with liposuction often have minimal tissue left between the skin and muscle layers. It's not possible to successfully graft fat directly into skin and grafting into the muscle area below this generally not give an aesthetic correction that's acceptable.  steroid injections can serve two purposes.They can decrease inflammation and swelling that may be present after the procedure.Secondly steroids can cause fat atrophy  decreasing the amount of fat.Fat atrophy is generally an undesirable side effects that is fairly uncommon after steroid injections.It is  generally anundesirable  Side effect and is a times reversible and at times not. Without a physical examination is difficult to make an accurate assessment in regards to what potential improvements can be made.Best,Mats Hagstrom M.D.

Vincent D. Lepore, MD (retired) · Answer

If it has just been a few months since your injections and things have improved, you may see further improvement over the next several months.  I would avoid further steroid injections andwould not suggest any surgery for at least 12 months.  Best wishes, Dr. Lepore.

Steroid injection for lipo fibroids? (photos)

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