I'm 26yrs old, 113 lbs and had 550 cc's removed from my stomach/flanks through Liposuction exactly 1 week ago. The compression garment the doctor gave me is adding to the lumpiness (I knew to expect some). Is the type/brand of garment important for outcome? Is tighter/stiffer better? My ribs are little sore. Is this amount of unevenness normal? Thank you!
Compression Garment Concerns After Lipo
Doctor Answers (12)
1 week after lipo is early to get worried
1 week after lipo is early to get worried about anything. You still have considerable swelling to resolve. In the long run, the garment does not really matter. The garment helps with short-term swelling reduction and helps reduce pain due to shearing forces. You are not wearing a garment anyway, you are wearing a binder. You might want to consider something like a Spanx garment, which is form fitting and seamless. You will get less short-term ridging like you have from the binder. All this goes away anyway with time since it is due to short-term differential swelling. Any lumpiness is due either to your anatomy or the liposuction technique. In any case, it takes several months to see the long term results. Good luck.
Compression garments after liposuction
The garment you show in your photos is really one that is used primarily for tummy tucks. I prefer garments that you have to zipper on like a girdle. They don't usually cause as many ripples.
Liposuction and Contouring
Contouring is all done in the operating room. The garment is to help with the edema and swelling and comfort. It really will not shape you, your surgeon does that. The fact that you see some lumpiness is common after surgery and you are very early to tell how your result will be.
You need to wait about 3-4 months for you final result. At this point I would continue with the garment and follow your surgeons instructions.
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Lumpiness has to do more with technique than the garment
No matter which modality you use for liposuction, the area should be uniform and without major lumps. During healing when there's tissue inflammation there can be some irregularities, but these resolve over time. A form fitting compression garment with thick foam (like epifoam) underneath causes uniform compression. I tell my patients when they sit, to slouch and keep the abdomen straight and not wear any constricting clothing or belts especially in the first week. The binder you have on is a favorite of general surgeons after incisional hernia repairs.
Compression garments don't affect final lipo results
That compression garment really is unimportant to the final outcome of your liposuction. There are several good reasons why we ask patients to wear the garments after liposuction.
First immediately after liposuction, we believe that gentle pressure on the area that has had liposuction reduces the already small incidence of bleeding. The compression garment also support the tissues and this helps with overall comfort.
For this reason, some find that wearing the compression garment makes them more comfortable after the period of time they have been advised to discontinue the compression garment-the compression prevents the tissue giggle less.
Some surgeons also believe that the compression garment reduced the incidence of seroma formation, a somewhat uncommon problem where fluid collects in the tissues in pockets.
Ultimately, the role played by a compression garment is truly supportive. The garment ultimately has no bearing on tissue swelling, lumpiness or the final result. The fact that you are a week out and have minimal bruising is actually great! A proper compression garment should provide comfortable, firm support without binding, pinching, or constricting.
Since you are doing so well with the garment you have, there is not pressing need to change garments. Swelling and lumpiness are completely normal for many weeks after a liposuction and generally will ultimately resolve.
Topifoam and girdle type garments
Like Dr. Marosan a couple of posts above me, I'm a great fan of topifoam (or epifoam). I also recommend Spanx after the first couple of weeks.
The skin heals best when it is "splinted" and under compression. The epifoam protects against creases when sitting or moving around and concentrates the pressure in an even form over the liposuctioned area. The garment should extend above and below the liposuctioned area. I prefer those with straps over the shoulders as they keep the garment really "in place".
As to the question of Vitamins and Aspirin, that is really meant for PREOPERATIVE precautions. Both Aspirin and some types of multivitamins (especially those containing herbal supplements) can cause increased bleeding tendency. Post operatively, don't worry.
Compression garments after liposuction
There is no perfect compression garment and this is an area of research that may be negelected and warrants further study.
This often comes down to the physicians personal preferences and experience and so I will describe my regimen. The other physicans have brought up the standard goals of compression.
Typically during the first week, I use a similar type garment to the one shown in your photos plus a special foam over the liposuction treated areas to evenly distribute the pressure and minimize folds or creases.
The appearance you currently have is very common after surgery and is likely to resolve.
After the first few days and if there is no sign of seroma, I then switch to a so called level 2 type garment. Typically a spandex like garment similar to bodyshapers with one popular brand known as spanx but there are several other comparable brands that patients show me.
The compression should be firm but not that uncomfortable. Amazingly, around 2-3 weeks when I recommend cessation of the garment wear, the patients prefer to continue wearing the compression which makes them feel more secure.
The compression garment will tend to cause temporary waviness because the tension isn't even. At this point the waves are due to more swelling being moved out from the areas under greatest tension. It will be nearly impossible to see any divots or high points at this point due to swelling.
Waviness influenced by garment
Waviness is an intrinsic risk or potential side effect of liposuction. A compression garment is usually intended for use most importantly during the first week when swelling and burising is occurring. However, I usually suggest wearing it around the abdomen only when standing or walking. Not only is the edema increased when standing but the garment makes patients feel more secure. You have to be careful using it when sitting or reclinging since the flexion at the waist can cause creases and folds that then indent the soft tissues. Be sure to check that the garment is evenly distributed and not causing the creases. It can also irritate the skin so I might advise wearing a form-fitting shirt or work-out type spandex body suit and put the garment on top of the suit. Your surgeon is the best guide to its use.
Questions about the compression garment
If you feel the compression garment is not fitting properly then get another device. There are many over the counter Spanx like products that can be beneficial. I would doubt that the garment itself is causing the problem.
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.
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