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Is Hard Swelling/bruising Normal After Liposuction? (photo)

I am one week post op after liposuction to my hips, outer and inner thighs. My bruising today is getting worse and my thighs are more swollen then ever. My main concern is that the bruising/swelling on my inner thighs is hard to the touch, it almost feels like a tensed muscle. It is also still very tender. Is this normal or could it need draining? I'm also worried about it turning into scar tissue and staying this size!

Doctor Answers (6)

Normal swelling and bruising after liposuction


The pictures provided show a very typical result 1 week after liposuction surgery. I think you have a normal amount of bruising. It is typically a bit sore which is normal.  Sometimes the bruises will migrate downward into the lower leg. Do not be alarmed if this happens.  At one week out you should be in some type of compression garment that helps with discomfort and support as well as skin retraction. Formal post lymphatic post operative massages typically begin about 2 weeks after surgery in my practice.  Both compression and massage are important adjuncts to this procedure. I hope this helps!

Houston Plastic Surgeon
5.0 out of 5 stars 20 reviews

Swelling and Bruising After Liposuction

Maximum swelling occurs at about 3-5 days. Most of the swelling and bruising will be gone in 2-3 weeks, but some firmness can last 6-8 weeks, so please wait for this to resolve itself. What you are seeing is typical. The final result can usually be assessed at 3-4 months. As the discomfort gradually subsides, you should begin gently massaging the treated areas if your surgeon is okay with this. This is usually possible by day 7-10. Massage will help to decrease the swelling faster and to smooth out any irregularities. Massage each area in all directions using your hands, or, a soft paint roller. Massage should be done once or twice a day for up to 20 minutes.  

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 70 reviews

Aggressive massage after liposuction to soften up and smooth your things

it is normal to have bruising at this stage after your liposuction
Massage on all hard feeling areas will soften them up and help to smooth out your contours.  First three months after the procedure is when you should be actively massaging for maximal benefit

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 182 reviews

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Is Hard Swelling/bruising Normal After Liposuction?


Very hard to see in the posted photos but I would recommend IMMEDIATE visit with the surgeon instead of asking over the net. It appears as swelling but a fluid collection can not be ruled out. Please seek in person care. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 64 reviews

Bruising after thigh liposuction

Your bruising is within normal limits at one week postop. I would encourage you to wear a compression garment and to follow your plastic surgeon's post-op instructions. Tenderness is consistent with swelling and bruising so, at this point, there is no basis for assuming that the swelling will remain or that it will somehow convert into a scarified area.

Robert L. Kraft, MD
New York Plastic Surgeon
5.0 out of 5 stars 13 reviews

Is normal to have some swelling


After getting liposuction is normal to have some bruises and swelling for a couple of weeks. The bruises should disappear by themselves in 7 to 10 days. The swelling could go on for a while, and still a month later you have some swelling left.


You just have to keep on your compression garments and pain medication. Don't miss your surgeon scheduled follow-ups. If you see that the any of the liposuctioned areas grow bigger, then inform your surgeon as soon as possible, so he takes a look at it.

Rafael E. Estevez Hernandez, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 19 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.