Options for fixing liposuction irregularities?

Question

Hello, I underwent liposuction of the abdomen and flanks 12 weeks ago and am not happy with the results. Specifically, I don't like the transition from waist to hips (appears to be abrupt?) I also have two lines on the sides of my lower abdomen and 2 soft lumps on my lower abdomen. Are there any non-surgical options to fix this? lasers, fillers, renuva? please help. thanks

Zoran Potparic, MD · Answer

It is normal to see irregularities and unevenness this early after liposuction. Due to surgical "injury" fat has tendency to create lumps that can be present for significant period of time, as well as postoperative swelling and deep scarring. Early and prolonged postoperative massage would help, as well as compressive garment, diet low in salt, spices, etc.. It takes 9-12 months for result of liposuction to settle and mature. Only at that time residual irregularities and asymmetry should be evaluated and, if needed, addressed. Hope this helps.

Hung William Song, MD · Answer

The transition from waist to hip can be improved with another liposuction. A doctor performing liposuction is like a sculptor sculpting a statue. This why it is important to go over photographs of the doctor's previous work so that you can determine if the kind of results that they typically get are what you are looking for and you need to tell him/her exactly what you are looking for. You should go back to the doctor who performed the liposuction and discuss options for revision. For revision, a Vaser liposuction would be the best tool since there may be fibrous tissue present from the previous lipo.

Michele A. Shermak, MD · Answer

Hello!
So you are about 3 months out. The focal surface irregularities are still modifiable with massage and compression.
If an area looks totally untreated, that would benefit from another liposuction procedure. Minimally invasive treatments are not as effective as surgical treatments. I would recommend you see a board certified plastic surgeon with all the tools in her/his belt. You can find one at plasticsurgery.org.
Best of luck to you!

Jason Emer, MD · Answer

I suggest you consult for a revision or to determine if external treatments like RF or trusculpt can help or injectables like renuva.  Best, Dr. Emer.

Mats Hagstrom, MD (license on probation) · Answer

At three months your results are final and are not going to change by waiting any longer.  I suggest you discuss your outcome with your plastic surgeon. He or she is responsible for the outcome. For example the transition from your waist to your hips could be improved.  Personally I do that part with patients laying on their side rather than with patients laying face down or on their back.  this is much easier to do if the procedure is done with patients awake.

Direct contour irregularities can be difficult to correct especially if someone has been over treated.

There are no appropriate nonsurgical options to correct this.  any non-surgical option is most likely either not going to give improvements or more likely simply not going to do anything.

I suggest you talk to your surgeon about your concerns.

Best,

Mats Hagstrom MD

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