Early post op liposuction concerns

H. Steve Byrd, MD answers: Hematoma after Liposuction and Tummy Tuck?

I had Liposuction on inner thighs, flanks, and abdominoplasty . It has been 18 days since my surgery. Last night, my left inner thigh began to hurt. It feels hard in some small areas along with very tender skin. Could this be a hematoma? Will I need to get this drained? Can I massage the area to help with whatever is going on?


H. Steve Byrd, MD
2 months ago

The hardness and tenderness you describe could indeed be old hematoma or even infection.  And yes, returning to your caregiver is important to have this evaluated, no matter what "it is", at this point.

Looking back over your early post op history if  you had this one area larger all along, more bruised, as well, then you could have hematoma.  Did the right side ever look like the left or have they taken different courses from the beginning.  Massage would not be appropriate until after consulting w/ your surgeon.

Infection would typically set in, after passing 10 days post op and would be accompanied by redness, tenderness to touch, and a fever by this point. If this is the case, please be seen quickly by your surgeon.

The other possibility is that there was some more trauma (more blood vessels broken for example...not a roughness in technique) to the area @ the time of surgery and the body, as it heals ANY surgical or non-surgical wound, is building more scar tissue in response to this.  Scar tissue (collagen) is deposited beginning around 10 days post op and continuing to build out to  6 weeks post op.  Internal scar tissue feels hard/firm to touch and can be tender initially.  If this were to turn out to be scar tissue, then massage would be appropriate. 

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