Charles W. Spenler, MD

Thank you for your question and congratulations on your recent procedure! I advise my patients to wait 6-12 months after liposuction before considering a second procedure whether it be additional traditional liposuction or coolsculpting. Liposuction is the gift that keeps on giving and it can take up to a year to see the final results. You are likely still swollen so I would advise you to wait to see the final result before making that decision.

Thank you so much for your question! When consulting with patients, I generally make recommendations about returning to work on a case to case basis. However, most of my patients who sit a a desk for work and have light duties, return to work in about  a week. I recommend that they continue to wear Tubigrip (a compression bandage) for a month after surgery so this would be visible if the patient did not wear long sleeves. 

Thank you for your question and congratulations on your recent procedure! Unfortunately, it is common to have wound healing issues in that area post surgery because that is a high tension area. Based on your photos, the wound appears clean. If you notice any increase in redness, swelling, drainage, or fever, I would advise you to contact your physician again or go to the Emergency Room.

Thank you so much for your question and congratulations on your weight loss! The major concentration of lymph nodes are located in the axilla and this procedure should not disrupt them. During a brachioplasty, we are simply removing excess skin and fat and should not be in your axilla at all. I would recommend that you find a board certified plastic surgeon in your area with experience in brachioplasty. It is possible, that a surgeon could be too aggressive and disrupt the lymphatic drainage which could cause swelling.

Thank you for your question and congratulations on your recent procedure! It is very common to have swelling post op and many times this can be uneven. You are only 16 days post surgery so it is too early to tell what your result may be. I advise my patients that it can take 3-6 months for the swelling to subside. I suggest to my patients use Tubigrip (elasticated tubular bandage) as compression in order to decrease swelling more rapidly. This can be purchased at most pharmacies.