I am 1 week post-op from upper arm Liposuction. Up until today, my arms have been soft like jello and felt bruised. Today, I was rubbing my arms and it feels all lumpy under the skin. Whats going on? It still hurts to touch, but what are those lumps? Are these normal, or there's something wrong? Should I call my plastic surgeon?
What Are These Hard Lumps Post-Liposuction?
Doctor Answers (21)
It most likely are just normal fluid collections which will resolve with time and massage.
Lumps and bumps are usually normal fluid collections after liposuction. They tend to last about 4-6 weeks. The initial swelling after the procedure conseals these pockets of fluid but as you massage and exercise then the generalized swelling fluid resolves and these individual pockets become more apparent until you massage them away also. Endermologie is a great way to help them resolve faster. I have my patients spend 5 minutes in the morning and 5 minutes in the evening massaging the areas. I start them exercising and massaging after 1 week. This helps the swelling go down faster but it still takes at least 4-6 months to get to the end result. Don't worry. It sounds totally normal but always see your surgeon to help reassure you that that is all that is going on.
David Hansen, MD
Liposuction Hard Lumps at One Week Will Resolve with Massage
Thank you for your question.
Hard lumps are common early after Liposuction. They are caused by swelling in injured areas of fat. Usually firm massage will resolve them.
Hard Liposuction lumps that last more than3 months may be areas of fat necrosis and if the persist may need to be removed if they are painful or disfiguring
Massage will correct lumps after liposuction.
Most likely you are feeling small collections of fluid after liposuction which respond to lynphatic drainage massage. Start this as soon as possible. Of course see your surgeon.
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Limps after liposuction can be several things. It can be areas that were under treated. It can be areas of swelling or induration of treated tissues. It can also be seromas. Usually the areas of swelling resolve on their own. Sometimes the seromas need to be aspirated, and sometimes the underresected areas need to be treated again.
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They are normal do not worry,post liposuction some edema is inevitable it will resolve in about 3weeks time.
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There are several possibilities at the one week point after upper arm liposuction. The first possibility is those lumps and bumps are hematomas (collections of bleeding) that are new or that weren't detectable initially secondary to swelling. The other possibility is small areas of fat "necrosis" (or dead fat). If these areas are small they should resolve with time. Sometimes massage is thought to help. As always - whenever you have an unexpected turn in your post-op recovery you should absolutely speak with your plastic surgeon. I hope this helps.
Steven Williams, MD