What can I do to fix this situation (fibrosis) after BBL on 5/26/20? (Photos)

Question

I had bbl 5/26/20 and I suffer from possibly fibrosis and thick scar tissue. Over my left rib cage I have a thick lump feel like scar tissue. I believe it was a seroma but now has turned hard. What can I do to fix this situation. The doctor that operated on me is not much of help as I had Sx in Miami if you know what I mean. Thanks.

Alan Gonzalez, MD, FACS · Answer

Hello @tay15Thank you for your question. The surgical procedure of liposuction, may or may not be associated with technology. Many times the characteristics of these lumps under the skin or retractions are secondary to a conventional fat extraction technique. We handle fat from the use of laser technology, which is light, or vaser, which is internal ultrasound associated with microair (PAL- Power ssisted liposuction) the first two devices allow us to vase or Laser produce lipolysis (is to pass the fat of a solid state to a liquid state so that there are no irregularities under the skin) and the microaire or the PAL allows us to make the extraction of the melted liquid without so much trauma.It is important to be able to evaluate the case a little more to determine if only with a new lipolysis from the combination of technology can be improved. If it is only a lipolysis of the body contour, we will be able to improve the appearance by 50% towards 70% of the result you currently have; because fibrosis behaves as a scar inside the tissue and it is very difficult to be able to remove it completely. Best wishes!

Daniel Barrett, MD · Answer

Dear tay15,
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

Darryl J. Blinski, MD · Answer

Appears from the few posted photos (?WHY ) you have/had a seroma left untreated thus causing scar fibrosis formation. Now the first step is obtaining a sub cutaneous scan to see if any seroma fluid is present. Next seek in person, ONLY, examination of area by experienced private practice boarded Plastic Surgeon. One whom has vast lipo experience. As for your decisions and choices - you choose to use a clinic or as we call them, CHOP SHOPS, in Miami. There are a few private practice boarded Plastic Surgeons in Miami whom offer care for complex complications following a lipo 360/BBL. In the final analysis you will most likely need another surgery to excise the scar tissue/seroma. sorry for your outcome and decision.

Douglas Taranow, DO, FACOS · Answer

Dear Tay,
A sonogram (inexpensive non-invasive) test would show if the lump is a fluid collection. An MRI would be more diagnostic, but expensive is not picked up by your insurance.  The treatment of this lump would depend if it is scar tissue or a seroma (fluid filled pocket).
Dr. Taranow

Mats Hagstrom, MD (license on probation) · Answer

It’s hard to make an assessment in regards to what the underlying problem or treatment options are for you.

Ultimately your surgeon is responsible for your outcome and you are responsible for choosing that surgeon.

I generally recommend patients avoid travel for elective surgical procedures because of the importance of access to your provider for postoperative care including complications and revision work.

If your previous provider it’s not taking care of you then consider finding a new provider and doing so by staying local and having multiple in person consultations.

Typically revision work is more difficult than primary work.

Chronic seroma‘s typically require direct surgical excision with a placement of a drain.  Seroma‘s should be treated immediately when diagnosed aggressively through daily aspiration or at least frequent aspirations until they no longer accumulate. If left untreated they become encapsulated and can no longer be treated by draining them and require surgical excision.

Fibrosis is not a condition that happens to some people. It is a normal response to overzealous and uneven Liposuction.

Best,

Mats Hagstrom MD

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