You just had surgery, so you will have to be patient to see the final results

David Shafer, MD answers: Is pain after liposuction normal?

I had liposuction 6 days ago on my tummy and hips. Just aout two inches above the right and left incisions at my bikini line for the tummy lipo, I have a sharp pain when I move, like a knife going into the exact place on each side (it is especially bad on the right). I would say it is severe pain, and I have a high tolerance. I am afraid that it is serious, and the doctor won´t diagnose it properly when I go to have the stiches out on the 7th day since surgery (perhaps because I won´t be able to explain well what is the pain). Is this sharp pain indicative or something serious?

Also, My right hip is higher and fatter than my left. I am clearly lopsidded. If my doctor tells me not to worry, that it will be symetrical in time, is that true? Will my hips even out in time?

My legs are very big, swollen (I understand this happens), but they wabble like jello. They are so ugly. I am so afraid that I will not look good without clothes on (and even with, since the hip lopsiddedness is so obvious). I was in such good shape, having been running for 20 years, until 2 years ago when a move and new job kept me from being able to run and exercise more than light walking. I am so afraid that I have made a mistake.

I am afraid I will look much worse than I did. And I am afraid that the knife pain is serious. Do I believe what my doctor will tell me? Any idea of what this sharp pain is? Normal or severe pain?


David Shafer, MD
13 months ago

First of all, you state that you just had liposuction 6 days ago and you are concerned about several issues. You also have another question just submitted stating that you had blepharoplasty 5 weeks ago and you are concerned about the incisions not healing properly. (Please see my response to the blepharoplasty question). It is good that you are seeking answers to your questions, but many of these issues you need to discuss with your doctor, especially if you are going in for multiple procedures at different times and still have unresolved issues with the surgery.

To specifically address your present concerns...

"I have a sharp pain when I move, like a knife going into the exact place on each side"

You are fresh out of surgery and your body is trying to heal from your procedure. Occasionally, underlying sensory nerves can be irritated and cause temporary discomfort. You also had small incision to perform the liposuction and, occasionally, you may feel discomfort at these sites (almost like a paper cut) until they heal. However, you need to discuss these issues with your doctor and have them examine you to make sure nothing more serious is happening.

"My right hip is higher and fatter than my left. I am clearly lopsidded."

After liposuction, you may become swollen. Depending on how you lay in bed or how you put on your post-operative garments, your swelling may be asymmetrical. The swelling will take several weeks to months to completely resolve. Additionally, many people have asymmetric body structure. When you are heavier, the fat camouflages the underlying asymmetries. However, after the fat is removed, your asymmetry may be more apparent. These are issues that you need to discuss with your surgeon before surgery.

My legs are very big, swollen (I understand this happens), but they wabble like jello."

When you deflate your legs with liposuction, the skin needs to contract or tighten. There is an important balance required when performing leg liposuction to avoid loose skin. This is also an issue that you need to discuss with your surgeon prior to surgery.

"I am afraid I will look much worse than I did."

Hopefully, you have a good relationship with your surgeon. It sounds like you have many issues to discuss. I suggest writing down your questions and bring them with you so that you make sure all of your issues are addressed during your visit. As with every surgery, you have to go through a healing phase. Some people recover faster than others. Good Luck.

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