Why do I have some irregularities and roughness in the liposuction operated areas?

Q. Please suggest some remedies for skin irregularities and roughness after my liposuction surgery.

Answered by
Dr. Kuljyot Bajaj
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 23, 2022 and last reviewed on: Sep 07, 2023

Hi doctor,

Two months post liposuction I have some irregularities in the operated area, it is looking pretty rough and I suspect poor technique. Surgeon is saying it will go away in six months but I wanted a second opinion on that. Please help.



Welcome to icliniq.com.

I understand your concern.

Contour irregularities following liposuction are among the most common problems a patient can face and are well reported in the literature. It can sometimes take up to six months to get the final results. Some patients can have a residual swelling between pockets of fat which can mask and affect the appearance of the skin, giving some irregularity in the initial period. To answer your query further, may I please know whether this is the first procedure sitting you have had? How much fat was removed in terms of volume? If have you been told about this by your surgeon? Do you have any risk factors like smoking? Or any medical conditions? And finally, have you had any previous abdominal surgery in the past?

Hi doctor,

Thanks for your reply. I had prior liposuction but only the lower abdomen. This time upper and lower abdomen liposuction is done, and 900 ccs of fat are removed. I am a smoker and do not have any medical conditions. I have had a hysteroscopy in the past, and all post-operative care followed like garments, massage, and rest. The tissue is relatively soft at this point except for the lower abdomen. I was prepared for a bit of scarring in that particular area.



Welcome back to icliniq.com.

I understand your concern.

In most cases, lumps and swellings felt or seen in the initial recovery period settle down. Occasionally, some minor contour irregularities can remain, leading to asymmetry. However, with time, as fat redistribution takes place, this also gets corrected. Very rarely, some patients require corrective surgery if it continues to bother. As with any surgery, healing varies from patient to patient and varies according to risk factors present like smoking or underlying medical conditions. I have seen the photographs (attachment removed to protect the patient’s identity) attached. From the looks, you seem to have some minor contour irregularity, although it is hard to appreciate entirely just by a photograph, and it needs a physical examination. As I said before, it may take up to six months to get the final results of the status of healing or whether you require any further procedure. I would, at this stage, recommend taking a healthy diet and regular exercise, continuing any common medications you are already taking, and being in contact with your operating surgeon. Please let me know if you have any further questions or if you would want me to arrange a video consultation.

I hope this helps.

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