**5.6 Management of postoperative complications**

Seromas are a known complication of liposuction and may occur even in the setting of drain use. When patients present with a seroma, they are treated aggressively with repeated aspirations every day or every other day until the collection resolves.

**Figure 5.**

*Preoperative photographs demonstrating skin excess and abdominal striae. Postoperative result at 6 months with improved contour.*

Contour irregularities may be treated with manual lymphatic drainage (MLD) or Endermologie when mild. Endermologie and MLD help reduce postoperative edema and soften areas of firmness. More significant irregularities may be addressed with Kybella or touch up liposuction.

When patients present postoperatively with residual skin laxity that is minimal, external percutaneous radiofrequency microneedling devices (InMode Morpheus) may be used to aid in further skin contraction.

Potential complications from energy-based devices include thermal injury. Areas of full-thickness burns are treated conservatively with local wound care. Once healed, these small areas are often amenable to scar revisions.

**Figure 6.** *Preoperative photographs and 3 month postoperative photographs are shown.*
