Contour irregularities that persist six months after liposuction can have several causes. It’s important to note that liposuction is generally a very safe and effective procedure. It can, however, carry potential risks and complications. Some factors that can contribute to contour irregularities after liposuction include:

Inadequate fat removal: If not enough fat was removed during the initial procedure, it can result in remaining pockets of fat that cause contour irregularities. This affords the simplest opportunity for correction.

Uneven fat removal: If the fat removal was uneven or asymmetrical, it can lead to contour irregularities in the treated area. This is most commonly the case.

Poor skin elasticity: Patients with poor skin elasticity may experience contour irregularities after liposuction due to inadequate skin retraction. Certain inherited diseases can lead to loose skin, such as the cutis laxa-related syndromes, Ehlers-Danlos syndrome, and Pseudoxanthoma elastica.

Fluid accumulation or seromas: Seromas are collections of fluid that can develop after surgery and can form because of inadequate drainage or accumulation of fluid after swelling.

If these are aesthetically significant during the early phases of healing, they may constitute persistent deformities. To correct contour deformities after liposuction, several options may be considered. These can include:

Revision liposuction: A secondary liposuction procedure can be performed to address remaining pockets of fat and improve contour. This is a commonly employed option and can be successful when executed well.

Fat grafting: This involves transferring fat from one area of the body to another, which can be utilized to improve contour irregularities. Unwanted fat in one area can be used to smooth out another area. It is extracted, processed, washed, and transferred where needed.

Skin tightening procedures: For patients with poor skin elasticity, additional procedures such as skin tightening, or excision may be necessary to improve the overall contour.

It is not uncommon to employ a combination or all these techniques to address a complex contour deformity.

In conclusion, contour irregularities six months after liposuction can have various causes, including inadequate fat removal, uneven fat removal, poor skin elasticity, or fluid accumulation. Treatment options may include revision liposuction, fat grafting, or skin tightening procedures. A thorough evaluation by a board-certified plastic surgeon is essential to determine the best approach for addressing and correcting contour deformities.