Grand Rapids Liposuction doctors

Steven L. Ringler, MD Steven L. Ringler, MD
Grand Rapids Plastic Surgeon
2680 Leonard Street NE Suite Four, Grand Rapids
7 answers
John Renucci, MD John Renucci, MD
Grand Rapids Plastic Surgeon
220 Lyon St NW Suite 700, Grand Rapids
7 answers
Scott R. Brundage, M.D. Scott R. Brundage, M.D.
Grand Rapids Plastic Surgeon
426 Michigan St NE #300, Grand Rapids
3 answers
William H. Sabbagh, MD William H. Sabbagh, MD
Detroit Plastic Surgeon
32000 Telegraph Rd., Bingham Farms
Marguerite Aitken, MD Marguerite Aitken, MD
Grand Rapids Plastic Surgeon
220 Lyon St NW Suite 700, Grand Rapids

Recent Answers

Liposuction of Abdomen 3 1/2 Weeks Ago. Bloated and Defined Swelling. When Will I See Final Result? (photo)

PAL liposuction of abdomen done by a PS 3 1/2 weeks ago (Nov 2011). My abdominal area looked like a "3" if you looked at me sideways. Had 1150 ccs of fat removed. 1st day was great, I had the flat belly I always wanted. 2 weeks into my recovery I got my period (which always makes me bloated). The bloated feeling continues today and I noticed that the "belly pouch" is back(smaller). PS told me that this is normal and to wait until my next visit (end of Jan 2012). Will it get flatter again?

A: swelling after liposuction

Be patient. The shape you saw on postop day one should return after the swelling resolves. Liposuction is very effective at removing significant volumes of fat from unwanted areas. While the incisions for liposuction are very small and well concealed, the area of treatment is typically widespread. Along with the fat removal and manipulation of the deeper tissues comes postoperative edema (swelling).  All of the tunnels created from the fat removal are susceptible to swelling/fluid retention. This is why it is advisable to have a well fitting compression garment. The compression will help to reduce post-op swelling. If you weigh yourself post-op, you will likely be heavier than you were before surgery.  This increase is often related to post-op swelling. You can expect to have significant swelling over the initial 2-3 wks with progressive improvement through the third month. Make sure you visit with your plastic surgeon to be sure that you don't have a seroma. Otherwise, wear a well fitted compression garment. I encourage all of my patients to resume active fitness throughout their recovery, but be sure to review your plans with your surgeon. Best of luck. Dr. Renucci

John Renucci, MD
Grand Rapids Plastic Surgeon
10 Days Post-op, Will the Scar Tissue Formed by Lipo Go Away?

Hello, I had a Liposuction and Breast augmentation 10 days ago. The liposuction was done thru the BA insision (areaola) to remove fat between my breast and armpit area. Its been 10 days and I have formed some hard lumps in that area leading up to my armpit which I believe is scar tissue. I have had a biopsy on my breast before which also caused this, but went away after ~3 weeks. Should I expect this new scar tissue to do the same? Is this normal, and what can I do to improve it?

A: early post op edema (swelling)

Liposuction recovery is a work in progress. Most patients undergoing liposuction expect to look in the mirror in the early postoperative period (0-6wks) and see immediate results. Unfortunately with liposuction comes inflammation and edema (swelling) which is what your are feeling as lumps.  "scar" tissue isn't something I worry about until the treated are is totally healed which is months down the road.  Massage the areas of "lumps" and meet with your plastic surgeon to be certain you are on the expected course to recovery. Best of luck. Dr. Renucci

John Renucci, MD
Grand Rapids Plastic Surgeon
Post Liposuction: Why Do You Need to Keep Your Head Elevated and Wear a Compression Garment?

Hi I just had liposuction on my cheeks yesterday (previously had fat transferred there). The doctor had told me to keep my head elevated when sleeping with two pillows and wear a compression garment. I forgot about doing both when I went to bed for the first night - why should you do it? Does it affect the final result? I am following those instructions now. Thank you.

A: Post-Liposuction Guidelines

The reason for elevation and compression garments following liposuction is to reduce post-operative swelling. The fact that you forgot should have little if any impact on your long-term result. Most post-operative swelling occurs within the first 72 hours and will resolve over the next several days or weeks depending on the area treated.  For facial surgery elevation is easy because your head is above you heart most of the day, and even at night with one pillow. With other body areas it is more difficult to keep the surgery site elevated above your heart, such as is the case with the legs.  Though there is very little evidence that compression garments make a difference long term, I generally recommend them because I feel they help limit swelling and patients achieve their end result more quickly.  In addition, for some areas of the body it can be more comfortable for the patient following surgery.

Steven L. Ringler, MD
Grand Rapids Plastic Surgeon
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