01
Depression type
A type where a certain area looks sunken and casts a shadow
NB Signature 7 · Adhesion Reset / Revision
Bumpiness and tethering, redesigning an adhered line
Depression, tethering, and bumpiness after previous liposuction can be hard to solve simply by suctioning again. With ultrasound we check the tissue's adhesion and fibrosis, and through adhesion release and tissue repositioning we redesign toward a more natural line.
Empathy
If your abdomen still isn't smooth long after liposuction
If, long after liposuction, your abdomen is still bumpy or a certain area looks tethered and sunken, it may not be simple swelling or a weight issue. When adhesion or fibrosis forms between the skin, fat layer, and fascia, the line may not smooth out even with exercise, and abdominal contours can show even under clothing.
- The abdomen looks bumpy
- It feels hard or lumpy to the touch
- A certain area looks sunken
- The skin feels pulled inward
- The abdominal line doesn't smooth out even with exercise
- Abdominal contours show through clothing
Beyond Massage & Exercise
Why exercise and massage aren't enough
Adhesion and fibrosis may not simply be a matter of leftover fat. After previous liposuction, when fibrotic tissue connects abnormally between the skin, fat layer, and fascia, the surface becomes bumpy, and some areas can look pulled or sunken. In such cases, exercise, massage, or weight loss alone may not bring sufficient improvement; after analyzing and releasing the adhered structure, a corrective approach that repositions or supplements the deficient areas may be needed.
This is general information and does not replace medical care. Results may vary depending on individual tissue condition, skin elasticity, and the extent of previous surgery.
Adhesion Types
Even if it looks like the same bumpiness, the type of adhesion can differ
02
Tethering type
A type where the skin is drawn inward or pulled along when moving
03
Bumpy type
A type where the fat layer and fibrotic tissue are uneven, leaving an irregular surface
04
Over-suction type
A type where more volume than needed was removed, making the connection with surrounding lines awkward
05
Asymmetry type
A type where left-right line or contour differences grow, making the whole silhouette awkward
Adhesion Reset is not a surgery that re-suctions without distinguishing the type. We must judge together which layer is pulling, where there is a deficit, and what the remaining fat layer and skin elasticity are like.
Ultrasound Diagnosis
We don't look only at the visible line, we check the tissue structure first
Even if it looks like similar bumpiness on the surface, the cause can differ — superficial adhesion, deep adhesion, fibrosis, fat-layer deficit, over-suction, reduced skin elasticity, and more. At NB, when needed during consultation, we use ultrasound to check fat-layer thickness, the degree of fibrosis, adhesion depth, and the cause of depression, and design the revision range and method.
- Check superficial adhesion
- Check deep adhesion
- Check fibrotic tissue
- Check fat-layer deficit
- Judge the possible revision range
NB Reset Process
It doesn't end at releasing the adhesion, we redesign the line
01
Adhesion structure analysis
Through ultrasound and palpation, we check superficial·deep adhesion, fibrosis, and the cause of depression.
02
Adhesion release and tissue reset
We carefully release the pulled, adhered tissue and reorganize the uneven tissue layers.
03
Line redesign
When needed, we combine micro fat grafting, fat repositioning, and tightening, aiming to design a more natural abdominal line.
The goal of revision is not simply to suction once more. We identify the tissue tethering and deficit left by the previous surgery, and combine release·supplementation·repositioning within the needed range to create a more natural line flow.
Partial vs Total Reset
Not every revision is a major surgery. We distinguish partial correction from full reset
When there is only a local depression
Consider partial correction
When there is broad fibrosis·tethering
Consider wide-range adhesion release
When over-suction·deficit is present
Consider micro fat grafting or repositioning
When the waist·abdomen·infragluteal·thigh connection has collapsed
Consider line redesign
Surgeon-Led Diagnosis
Your adhesion state must be seen, touched, and checked directly
For Adhesion Reset, it is hard to determine the surgical range from photos alone. The movement of the skin and fat layer, tissue firmness, the degree of fibrosis on ultrasound, and the extent of previous surgery together with the fat layer that currently remains must be checked together.
What we check in consultation- Previous surgery site and timing
- Current tethering and depression areas
- Firm tissue on palpation
- Adhesion·fibrosis on ultrasound
- Whether micro fat grafting is needed
- Whether it can be done at once or needs stages
Lifestyle
From stress in front of the mirror back to a comfortable silhouette
The goal of correction is not simply to make things flat, but to regain a natural line under clothing, comfort when moving, and the confidence you feel in front of the mirror.
FAQ
Frequently asked questions
Does adhesion get better on its own over time?
Superficial swelling may subside over time, but fibrotic adhesion sometimes does not release enough with time alone. It may vary by individual tissue condition, and we judge after consultation and diagnosis.
Can massage or radiofrequency care improve it?
Some superficial adhesion may improve to a degree with ultrasound·MFR·radiofrequency care, but when deep adhesion and deficit are present, care alone sometimes does not improve it enough.
How is Adhesion Reset different from ordinary liposuction revision?
It is not an approach of simply removing more fat, but a corrective approach that first analyzes the adhesion·fibrosis structure and combines release·repositioning·micro fat grafting to redesign the line.
Is an ultrasound examination essential?
It is not mandatory, but it is used to visually confirm the layer and depth of adhesion and the extent of fibrosis. It is sometimes recommended in consultation to raise diagnostic accuracy.
Does a depressed area need fat grafting?
Depending on the depth and extent of the depression and the surrounding tissue condition, micro fat grafting is sometimes combined. Release alone is sufficient in some cases, so it is decided in consultation.
Can correction be done at once?
Depending on the extent·degree of adhesion, it is sometimes split into 1–2 sessions. After evaluating the first-stage result, we decide whether and when additional correction is needed.
How long after previous surgery can I consult?
Consultation is possible regardless of timing, but generally the adhesion extent can be assessed accurately once at least 6 months have passed after liposuction and swelling has stabilized.
What are the pain and recovery periods like?
It varies by release extent and area and by individual condition. The general recovery flow is explained in consultation; this is general information and does not replace medical care.
Can adhesion form again after revision?
Re-adhesion is possible, and to minimize it we apply a recovery protocol and monitor during recovery. Results may vary by individual condition.
How is the cost decided?
It varies by area·extent·correction method·whether fat grafting is combined, and is decided after consultation and diagnosis. This is general information and does not replace medical care.
NB Signature 7 · Sibling Guide
Is my body a corrective type, or a redesign type
Even when considering revision after previous surgery, we don't approach everyone the same way. The approach differs between those for whom adhesion·depression correction comes first and those for whom an aesthetic line upgrade is possible.
Corrective type — the page you're viewing now
Redesign typeAdhesion Reset / Revision
A problem-solving approach that analyzes depression·tethering·bumpiness·fibrosis and recovers the line with release·repositioning·micro fat grafting.
Current pageBody Redesign
For those whose volume decreased with previous surgery but whose line completeness feels lacking — a redesign connecting the abdomen·waist·back·hip line.
View the Body Redesign page →Your adhesion state, check it first with ultrasound
The causes of bumpiness, depression, and tethering differ from person to person. NB looks not only at the visible line but also at the tissue structure, and determines the possible revision range and correction direction in consultation.
Sinsa · Gangnam · NB Plastic Surgery
This is general information and does not replace medical care. Surgical results may vary depending on individual tissue condition, skin elasticity, the extent of previous surgery, and recovery environment, and side effects are possible. Details are provided through consultation and diagnosis.