Post-Liposuction Fibrosis

 

 

 

 

 

 

Post-liposuction fibrosis is a condition where thick, hard, and sometimes painful scar tissue forms under the skin after liposuction. This occurs when the body’s natural healing process produces an excessive amount of collagen, leading to the formation of dense, fibrous tissue in the treated area. While some scar tissue formation is normal, fibrosis can lead to irregularities in the skin’s texture, such as lumps, hard nodules, or areas that feel tight or rope-like.

Causes of Post-Liposuction Fibrosis

    1. Overproduction of Collagen: After liposuction, the body naturally produces collagen to heal the tissues. Excessive collagen can form hard, fibrous tissue.
    2. Inflammation: The body’s immune response to the trauma of liposuction may result in swelling and scar formation.
    3. Insufficient Aftercare: Failing to follow post-surgical guidelines, such as not wearing a compression garment or skipping post-op massages, increases the risk of fibrosis.
    4. Poor Surgical Technique: Aggressive suctioning or improper handling of the cannula during liposuction may increase tissue trauma and fibrosis.

 

Symptoms of Post-Liposuction Fibrosis

 

    • Hard Lumps or Nodules: These feel like firm, rope-like tissue under the skin.
    • Skin Tightness: The affected area may feel stiff or tight.
    • Uneven Skin Texture: Dents, waves, or bumps in the skin surface.
    • Pain or Tenderness: Areas of fibrosis may feel sore to the touch.
    • Reduced Skin Elasticity: The skin may lose its natural flexibility.
      Fibrosis typically begins to develop a few weeks after surgery but may become more noticeable over time if untreated.

 

Medical and Genetic Contributions to Lipo Fibrosis
Predispositions in Genetics
The likelihood of developing post-liposuction fibrosis is largely determined by genetic factors. After an accident or surgery, certain persons are more likely to develop fibrous tissue due to their genetic makeup. Their body’s reaction to healing is influenced by differences in their DNA.

Impact of Health Conditions
The development of fibrosis following liposuction is greatly influenced by pre-existing medical problems. Obesity, diabetes, and liver disorders can all disrupt the body’s natural healing mechanisms, which facilitates the growth of fibrous tissues.

 

    • Diabetes has an impact on wound healing and blood flow.
    • The processing of fats can be impacted by liver disorders that change metabolism rates.
    • Being obese puts more stress on the body’s tissues, which may result in inadequate cellular nutrition.

 

Treatment for Post-Liposuction Fibrosis
If fibrosis has already developed, there are several treatment options:

1. Manual Lymphatic Drainage (MLD) Massage

 

    • What it does: Uses gentle, rhythmic pressure to stimulate lymph flow, reduce swelling, and soften hard, fibrous tissue.


    • When to start: Typically recommended within a few days to weeks after surgery to prevent fibrosis, but it can also help reduce existing fibrosis.

 

2. Deep Tissue Massage

    •  What it does: Uses firmer pressure to break down hardened tissue and improve skin

    • When to use: Once healing has progressed and it’s safe to use deeper pressure (usually after 4-6 weeks).

 

3. Radiofrequency (RF) Therapy

    •  What it does: Uses heat energy to break down fibrous tissue and stimulate collagen production. This promotes smoother skin and reduces tightness.

    • When to use: Often used for older fibrosis cases that are difficult to treat with massage alone.

 

4. Ultrasound Therapy

 

    • What it does: Uses sound waves to penetrate deep into tissues, softening fibrosis and improving blood flow.


    • When to use: Can be used during the early stages of fibrosis.

 

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