Skin hardening and scar tissue after laser / ultrasound / radiofrequency assisted liposuction

  • Laser / ultrasound / 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.