Post-Liposuction Generalized Oedema

asked 1 year ago by zaireen in malaysia
Latest answer by Tom J. Pousti, MD
Question viewed 307 times
Tags: outer thighs, saddle bags, edema

i had laser lipolysis done to remove saddlebags on both my outer thighs 10 days ago. estimated 7.5 litres of fat was removed. developed transient hypotension post procedure. now having generalized oedema. my urine protein is negative. is this considered as postliposuction oedema ( due to excessive fat removal)? my surgeon prescribed frusemide for me. i have been using my compression bandage diligently. please help. i need to know how to reduce the oedema. tq.

6 answers to Post-Liposuction Generalized Oedema

Too Much Liposuction

Thank you for the question. Your experience should serve as a warning to other patients considering relatively large volume liposuction surgery. The “transient hypotension” you experienced after surgery signifies that your health and well-being were put at significant risk during and after the procedure. Safety should be the first priority and sometimes multiple procedures spaced several months apart is the best way to go for certain patients... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Generalized Swelling after Large Volume Laser Liposuction

Regarding: "Post-Liposuction Generalized Oedema i had laser lipolysis done to remove saddlebags on both my outer thighs 10 days ago. estimated 7.5 litres of fat was removed. developed transient hypotension post procedure. now having generalized oedema. my urine protein is negative. is this considered as postliposuction oedema ( due to excessive fat removal)? my surgeon prescribed frusemide for me. i have been using my compression bandage diligently. please help. i need to know how... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

7.5 Litres of fat removed is too much in one session

Large volume liposuction is associated with increased risk of complications and sudden death. For that reason I will not perform large volumes of liposuction and strongly I recommend against it. Now that you have gone through it, you need to wear compression garments and move a lot to help reduce the swelling. You can expect the swelling to last up to 4 weeks Sincerely, Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon

See your surgeon again

You had A LOT of liposuction done at one time. I'm not at all surprised by your edema. Massage may help increase the resolution of your edema, but I'm betting mostly time and compression will help. Find someone who is experienced in post-liposuction lymphatic massage--it will help. MOVE AROUND! Don't just sit.

Carmen Kavali, MD
Atlanta Plastic Surgeon

Need to have furter evaluation by your surgeon

The main issue is the amount of liposuction and the recovery. You need to see your surgeon to make sure that your blood chemistry is fine and there is no other issues except normal swelling. I have concern regarding removing 7.5 litters from one area.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Swelling and edema after liposuction and laser lipolysis

Seven liters of fat is a large amount of fat to remove and edema is not unusual for 3 weeks. Compression garments and light activity to promote the muscle pump action and lymphatic circulation may be useful in diminishing the edema. Some surgeons are advocated of manual lymphatic drainage to promote evacuation of the subcutaneous third space fluid. Discuss this with your surgeon.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

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