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4 Weeks Liposuction Post Op., Am I Still Swollen Or Are These My Final Results?

I had lower abs, flanks and mons pubic liposuctioned 4 weeks 3 days ago. I had more results at 2 weeks then I do now. Is it possible to still be swollen? Seems like results are slowly going and the pubic area 200cc of fat was removed but seems like there is not much of a difference at all. I'm frustrated because I dont "feel" swollen anymore. Is it possible to be swollen still or is this my end result?

Doctor Answers 15

Labiaplasty - 4 Weeks Liposuction Post Op., Am I Still Swollen Or Are These My Final Results?

Hi lipogirl77,

The good news is that you don't have your final result at 4 weeks; the bad news is that 200 cc is not that much.

Are you sure that that's all you had removed from those areas?

In my experience, it takes about 4-6 weeks to see 85% of the result, 3 months for 95% and 6 months for the entire result (sometimes even longer).  That assumes that your weight is at or below the pre-surgical weight (depending on how much lipo was done) and that you are otherwise in good health.

If you have not seen adequate results by 6 months (I realize you're almost there) you should be comfortable enough having a discussion with your surgeon, including reviewing pre and post-op photos and anything else you need to do to make yourself comfortable with the surgery you had.  While it is not possible to offer guarantees you should, in general, be able to get a result within a certain range.

And I cannot, of course, make any specific comments concerning your result and what you should look like now without knowing what you looked like before and exactly what was done.  But I would generally be slightly more concerned about your final result in view of the 200cc, than your appearance at 4 weeks.

I hope that this helps, and good luck,

Dr. E


Swollen or final results?

Recovery for liposuction is relatively quick, but bruising and swelling can remain up to two or four weeks. Residual swelling lasts for several months, but it's usually not very apparent. See your surgeon to discuss your results.

Liposuction Results

Maximum swelling is usually within about three to five days after your surgery, and the majority of it along with bruising goes away in two to three weeks. You may feel some firmness, though, for a few months afterward. You can assess your results at three to four months after surgery.
You may not "feel" swollen anymore, but you may be. If you have concerns, please talk to your surgeon. Best of luck!

Results after liposuction

It appears that you got a significant improvement with your liposuction.  In general there is 2.2 pounds per liter of fat removed.    Even at 4 weeks you do have some swelling present. In general you are 50% of the way there at 6 weeks and 80% at 3 months.  Re-evaluate at 6 months and decide if you need additional liposuction.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 12 reviews

Liposuction results get better after one month

Absolutely, you can see more improvement after a month through the six month period as collagen increases and contracts the looser tissue that is created after tunnels of fat are removed with liposuction.  Gravity makes the swelling fluids settle in the pubis and it's the last to see the swelling leave.  Be patient and excited about your result. WEar the compression garment if one was recommended. Followup with your surgeon.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
5.0 out of 5 stars 33 reviews

Liposuction Results?

Thank you for the question.

At 4 weeks postop it is still too early to evaluate your final results. I ask patients to wait at least 2 to 3 months to assess the results of the procedure. It may take several months later for the skin to “redrape".

I would suggest continued follow-up with your plastic surgeon.

Best wishes.

Liposuction results

4 weeks is still early.  I usually have patients wearing garnments for 4-6 weeks to minimize swelling.  Tissue contraction takes longer so you still have time to see improvement.  I hope this info helps.

Ronald H. Stefani Jr, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 2 reviews

Swelling after Liposuction

I agree with the other assessments, 4 weeks after liposuction you can still have a lot of swelling in the tissues. I always recommend waiting 4 to 6 months before you see final results. If I understand correctly, the 200cc's was removed just from the pubis. If this is right, then that is a good amount of fat to be removed. 200 cc's for all of the areas would be a very small amount. BUT, if it was just from the pubis region - this is the area that will remain swollen for the longest time, and will take the longest to reach a final result. From your photo - you look really great after the treatment. If, at 6 months, you are still concerned, be sure to go back to your doctor. For my patients, I always want to see them back at 4-6 months to look at results and address any concerns. Some patients do need small touch-ups.

Jennifer Reichel, MD
Seattle Dermatologic Surgeon
4.5 out of 5 stars 34 reviews

Liposuction Recovery

4 weeks after surgery is too early to get worried.  Your swelling will continue to go down over the next several months.  If you have any specific concerns, please post pictures or go see your surgeon so they can assess your recovery.


Good Luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 63 reviews

Swelling after liposuction can last for six months

You still have swelling at four weeks, so you need to be patient before you will see your final result. This may take up to six months as the skin needs time to shrink and contract. Wear your garment as directed by your plastic surgeon and follow up as directed.

Best wishes,


William Bruno, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 208 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.