Tumescent liposuction before & after photos

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Tumescent Liposuction Recovery

I had Tumescent Liposuction performed on my outer hips yesterday. The procedure also involved some fat transfer from the front of the thighs to the indented areas on my left and right thighs. The doctor simply injected the anesthetic solution into my front thighs, broke down the fat with the cannulas, and consequently pushed it down toward the indentations with his hands. He stitched the incisions and wrapped me up with the solution and fat inside. He told me that the body will get rid of the solution and we will find out if the fat in the indentations survived in 2 months. The next morning, I unwrapped my legs; the swelling from the solution had came down a bit and shifted to the outer side of my legs. A few hours later, I started experiencing burning pain in the area.

This procedure did not seem very professional to me and I'm wondering, what are your opinions on this? Is the pain normal? What would the outcome most likely be?

Asked 37 months ago by SilviyaGregory in Tampa

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complication pain recovery

Burning Sensation After Liposuction

Liposuction is a combination of fat removal and fat re-sculpting. Postoperative burning is normal, both from the acidic pH of the lidocaine, and from pain as the local anesthetic wears off. Areas of numbness and itching are also common. You didn't state how much fat was removed from your hips or how distant the "indentations' were from your hips. I generally remove fat and process it for injection into other areas, but I certainly fill in local depressions... more

Karen Vaniver, MD

Seattle Plastic Surgeon

ASAPS ASPS

Tumescent Lipo

There a variety of techniques used for fat transfer, and without observing the procedure itself, it would be hard to comment and give accurate information. If the fat survives from 2-6 months, then you have a good chance of keeping the fat.

Vivek Bansal, MD

Danville Plastic Surgeon

ASAPS ASPS

Recovery following tumescent liposuction

Tumescent liposuction involves the use of large, dilute volumes of lidocaine and epinephrine into the treated areas. I leave the adit sites (the openings in the skin from which cannulas remove the fat) open to drain excess fluid present in the tissues following the procedures. It is also normal for a patient to experience an increase in urination in the day or so following the procedure and your kidneys help to filter the excess fluid. Fat may be transfered from an areas of... more

Melanie D. Palm, MD

San Diego Dermatologic Surgeon

Fat manipulation in liposuction

Most of what you describe is normal in a liposuction procedure. The manipulation of fat from one area to the other without removing it from the body is a bit different (but not wrong). It is possible that by not sucking the fat out, processing it, and reinjecting it, that the fat cells were less traumatize and therefore may have better survival. One day after surgery is much to early to judge - give it at least 2-3 months.

Karol A. Gutowski, MD

Chicago Plastic Surgeon

ASPS

Fat transfer

Most surgeons prefer to aspirate the fat after tumescent anaesthesia, process the fat and transfer to the required area.

Sanjay Parashar, MD

Dubai Plastic Surgeon

ASPS

Recovery from liposuciton

One day after surgery if very early to start worrying about the results. Also, without knowing all the specifics of your surgery and seeing your pre-op photographs, it really is impossible to give you specific advice. Typically with liposuction you can expect a moderate about of bruising and swelling which resolves over a few weeks. During the healing process you may feel slight tingling or itching which is due to the skin healing. If you are concerned about your... more

David Shafer, MD

New York Plastic Surgeon

ASPS

Burning Sensation Post-Tumescent Liposuction

A burning or tingling sensation after tumescent liposuction is not uncommon. In fact, most patients experience some degree of altered sensation in the area that was liposuctioned for several days or weeks after the procedure. Regarding the technique used for your liposuction and fat grafting, it is unclear if this was standard procedure or not. While traditional liposuction and fat grafting (i.e. fat transfer) involves the actual removal of fat from the body with... more

Jaime Perez MD

Tampa Plastic Surgeon

ASPS

Tumescent liposuction and burning sensation--can be normal

Irregular swelling and a burning sensation can be perfectly normal after tumescent liposuction. I'm not sure about your description of the fat grafting done on the anterior thighs, but it may be fine as well. Did you see a surgeon who is certified by the American Board of Plastic Surgery? Or did you see a "cosmetic surgeon" (likely NOT a plastic surgeon)?

Carmen Kavali, MD

Atlanta Plastic Surgeon

ASPS

Burning sensation after liposuction

After like a suction patients may expect to experience swelling, bruising, and some mild abnormal sensations. Some patients describe sensations after liposuction as small areas of numbness, tingling,or as if that part of their body has fallen asleep. This may be due to some of the nerves in this area having been stretched during the liposuction procedure. Although this is not common, it is a possible risk to this surgery. If the nerve has been stretched or bruised, you can expect to have... more

B. Pat Pazmino, MD

Miami Plastic Surgeon

ASAPS ASPS

Burning sensation, indentation after Liposuction

Without being at the surgery procedure, it would be very difficult to tell you if everything went as planned. With indentations, some surgeons try to loosen local fat to redistribute it into the area that was affected. Sometimes, fat is injected into the area as well. You have to wait it out now and see if it improves.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Sounds like a normal liposuction postop

Liposcution can be painful postop, and beyond that, it can be uncomfortable for weeks after the procedure. Swelling, itching, numbness, and burning may be experienced for a while during recovery as well. I can't comment on the technique, or speculate on your possible results. When it comes to fat transfers, they are dicey, and only time will tell what will survive and what will go away. Keep in touch with your doctor if symptoms get worse.

Scott E. Kasden, MD

Dallas Plastic Surgeon

ASAPS ASPS

Sounds normal but call if you experience more pain and/or fevers!

The advantage to tumescent liposuction is that it can provide analgesia (pain relief) for up to 18 hours. When you experienced pain it may simply have been the anesthetic wearing off. Occassionally when nerves "wake up" they are more painful. Think about what it feels like when you sit on your nerves in your leg and it falls asleep; it can be very painful when it wakes up. Alternatively, it could be irriation of nerves which occurs more commonly with ultrasonic liposuction.... more

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Tumescent liposuction can cause some burning sensation postop

The burning sensation you are experiencing may be related to several factors. The tumescent fluid your physician injected contains lidocaine which may cause some burning. The trauma from the procedure, as well as the possibility of irritating the sensory nerves in the area, may also contribute to the burning sensation. This sensation should subside over the next several days to weeks. The difficulty with fat transplantation is the unpredictability with how much will survive. This will... more