Liposuction and post-lipo recovery & treatments

Loose skin, fibrosis, leftover fat and cellulite: some essential facts



Skin hardening and scar tissue / fibrosis after vaser, laser lipo or bodytite liposuction

Laser-assisted, ultrasound-assisted and radiofrequency-assisted liposuction is used to remove fat and tighten the skin at the same time, thereby attempting to solve the problem of loose, saggy skin left after the removal of fat. The special laser / ultrasound / radiofrequency cannula tips used for these procedures burn (coagulate) the skin internally, thereby hardening it. However, this coagulation also literally sticks the skin to the underlying tissues, which leads to difficulty with movement, pain and discomfort for a few weeks or months, until all tissue adhesions are broken down. Strong massage helps with adhesion removal.

To be honest, I would not call the skin hardening that occurs with the procedures skin tightening, because you do not gain a nice firm feel on your skin, but thick hardened skin. Furthermore, in the same manner unwanted adhesions are gradually broken down by the body, so are the ones that led to skin hardening: the body gradually rejects the denatured coagulated collagen fibres, thereby reverting to the saggy appearance in a few months to a year. So the skin hardening effect caused by the laser / ultrasound / radiofrequency tips is usually short lived.

On the other hand, the "burning from the inside" caused by the laser / ultrasound / radiofrequency tips typically causes excessive hardening on some skin spots here and there, leading to the appearance of several hard lumps and bumps made up of scar tissue / fibrosis. As these bumps are basically balls of scar tissue, they take much more time to be dissolved by the body, leaving you with both loose skin AND unsightly hard bumps.

During the last decade I have seen hundreds of clients who had different types of lipo before, and in my experience, most hard bumps are caused by laser-assisted liposuction, although I have seen bad cases with ultrasound and radiofrequency assisted lipolysis. Of course, I have seen some amazing results too and loads of average ones. Results depend on both the skill of the surgeon and also on how your body reacts to the coagulation. 

Strong massage can help with the breaking down of those hard bumps, but that can only be initiated six weeks after surgery, as before that time tissues are too sensitive / painful for any strong treatment.

In summary, if you really need to have these kind of procedures, pick the best doctor possible (not necessarily the most expensive) and if you end up with some hard bumps have plenty of strong massages, starting six weeks after surgery.



Aftercare treatments after liposuction, vaser, smart lipo, bodytite, cellfina and cellulaze


Why is post-lipo aftercare needed? / does massage after liposuction help

Like with all surgery, some aftercare treatments are essential after all types of liposuction, even if liposuction is performed by a very skilled surgeon. This is because pain and swelling always follow any intrusive procedure. The following side effects typically occur:

  • Loose skin (with plain lipo)
  • Excessive hardening of the skin (with vaser / smart lipo / bodytite)
  • Scar tissue formation / bumps (with all procedures)
  • Lumps of fat left unremoved (with all procedures)
  • Skin adhesion onto the underlying tissue, which leads to movement restriction (with all procedures, but especially so with vaser / smart lipo / bodytite)


Post-lipo aftercare: how to get rid of lumps after liposuction

The recommended treatments differ depending on the timeline after surgery. Here is a short list: 

  • Day 3-20: Focusing on pain, swelling and tissue healing. During the first 2-3 weeks post-lipo aftercare treatments are very gentle and aim to minimise pain and swelling and prevent excessive scar tissue from forming. Mild lymphatic drainage massage by hand or with special lymphatic drainage equipment is needed in the first few days after any liposuction surgery. A firmer massage - but not too strong - must be applied from the second week onwards.
  • Day 21+: Focusing on scar tissue breakdown and cellulite reduction. From the third week onwards treatment can become progressively more vigorous: stronger lymphatic stimulation massage is preferred to the "fluffy" MLD variety used the first three weeks. In addition to reducing water retention, stronger massage also helps with the breakdown of scar tissue / hard bumps that typically form after lipo surgery, reduce fatty lumps and reduce cellulite (which liposuction does NOT remove), uncouple skin stuck on underlying tissue and increase range of movement.
  • Day 60+: After about 8 weeks you can start having a strong radiofrequency treatment to more effectively break down leftover fat and cellulite and tighten up the skin.


A good, multi-ingredient cellulite cream can be of help

A good anti-cellulite cream, i.e. a cream that contains anti-inflammatory, circulation/lymph drainage-enhancing and lipolytic ingredients, should offer valuable with recovery as well as with cellulite and residual fat removal, and it can be applied throughout the different stages of recovery.

Cream application can start immediately, as long as contact with the portals (cannula insertion points) is avoided while the wounds are still open.




Meso-CRF® Post-lipo treatments

LipoTherapeia  |  London



(liposuction, tummy tuck, Vaser, smart lipo, bodytite, cellutite, cellulaze)

Liposuction is sometimes the only method to remove large amounts of stubborn fat, but it can also leave behind saggy skin and residual fat lumps and makes cellulite more evident. Liposuction typically leaves the skin loose and saggy, because it removes excess fat that previously used to occupy a certain amount of volume underneath the skin which used to keep the skin taut. Skin contracts very slowly on it's own and in most cases it never regains it's pre-overweight shape and tone after the removal of fat. Bodytite, vaser and smart lipo procedures claim to tighten up the skin, but this tightening effect is quite short-lived (less than a year) and quite often these procedures cause scar tissue, which is quite persistent (quite often still visible palpable after two years or more).

For the exact same reason (loose, saggy skin), cellulite is more evident after liposuction. Liposuction does not make cellulite worse, but it makes it look worse. At this point it is important to clarify that, contrary to popular belief, liposuction and mini-liposuction procedures such as "smart lipo", "bodytite", tummy tuck and "vaser" CANNOT remove cellulite. This is because cellulite is fat INSIDE the skin itself, while liposuction removes fat UNDER the skin. Because cellulite is an inherent part of the skin structure it can not be surgically removed without removing the skin itself, so all cellulite treatments are by definition non-surgical (if anyone promises you cellulite reduction with liposuction, vaser, smart lipo, tummy tuck or bodytite, they are clearly trying to mislead you). There are a couple of cellulite surgical treatments (cellfina and cellulaze), which work by removing the collagen fibres that cause the cellulite mattress appearance, but by doing so they also make the skin very loose, so you swap cellulite with skin jelly-like looseness / flabbiness which actually looks worse. Not to mention the scar tissue and bumps with cellulaze, which can be much worse than cellulite itself.

Furthermore, quite often small pockets of fat remain unremoved by the surgeon. In some cases the surgeon agrees to do a "touch up" and remove those fat pockets, but this is not always possible, especially if you had your liposuction procedure abroad or if you are very sensitive after surgery. Moreover, residual fat removal touch-ups are not always successful.


Skin tightening & anti-cellulite post-lipo treatments

Fortunately, today there exist today non-surgical technologies that can help remove residual fat, tighten up saggy skin and reduce cellulite, thereby helping you polish your look after surgery and correct some of the side effects of surgery.

High-power monopolar radiofrequency
High-power monopolar radiofrequency treatment does contract existing collagen fibres and also stimulates the secretion of new elastin and collagen from the fibroblasts (collagen cells), gradually firming up and lifting the excess skin and "taking up the slack". The same treatment also stimulates the release of fat from fat cells located in the cellulite tissues, as well as in the unremoved fat lumps, and breaks down a number of them. This process is called thermolipolysis.

High-power ultrasound cavitation
High-power, low-frequency ultrasound cavitation treatments stimulate the release of fat from fat cells and breaks down fat cells, via a different mechanism (sonolipolysis) to that of radiofrequency treatments.

Electro-mesotherapy can also assist in the removal of fat and skin tightening by stimulating the uptake of anti-cellulite, fat releasing and skin firming active ingredients by fat cells and collagen cells, respectively. Electro-mesotherapy is more effective if a high concentration of several active ingredients is used for the treatment.


LipoTherapeia: the post-lipo experts

At LipoTherapeia, we only specialise in radiofrequency, cavitation and electro-mesotherapy and we only practise cellulite reduction and skin tightening for the face & body. We provide 1000+ such treatments per year (6000 Meso-CRF® treatments provided so far), and the last several years we have seen hundreds of post-lipo clients), so you are guaranteed to receive expert consultation and treatment.

Our technique, developed over 6 years and based on our deep understanding of radiofrequency Physics, is the most advanced available today and very specific to deep collagen tightening / lifting (action on the dermis and subdermis). This is in contrast to the majority of RF treatments that work on the epidermis and have no effect on deep skin tightening & lifting. The same knowledge ensures that Meso-CRF® is pain-freenon-invasive and requires zero downtime, in contrast to most other radiofrequency treatments.

Specifically for post-liposuction patients, we provide Meso-CRF® PostLipo, i.e. the simultaneous combination of these three techniques specifically adapted to the needs of patients following liposuction, vaser, smart lipo, tummy tuck and body-tite procedures. Lately we started seeing patients who had cellu-tite and cellulaze "cellulite removal" surgery, which in all cases has gone wrong and produced bumps, scar tissue, pigmentation and not much cellulite reduction. We work with those cases too and with good results.

Of course Meso-CRF® PostLipo is not a miracle treatment, but if you suffer from skin laxity, localised fat deposits and cellulite after liposuction then Meso-CRF® PostLipo is the most advanced tightening treatment available, provided by a real post-lipo treatment expert with 16 years' experience (please note that, as with any treatment or body product, results vary from person to person).

Please note that the skin is ALWAYS sensitive and inflamed for several weeks after lipo, tummy-tuck, vaser, smart lipo, bodytite, cellu-tite and cellulaze (despite what surgeons tell you before the operation). So in order to offer you the best possible treatment, we accept post-lipo clients for treatment only after the sixth week after surgery - not earlier and with no exceptions.



  • Areas treated: anywhere on the body after lipo surgery
  • Number of sessions recommended: 6-12x weekly / fortnightly sessions, depending on severity
  • Maintenance treatments: once a month or a course of 3x/6x sessions once a year to maintain firmness
  • Typical price: £160/session
  • Call us on: 0207 118 2014 for free expert advice