You are correct in that there are different opinions regarding the indication for a massage after liposuction. I am one of those who does not believe that there is any particular need for a massage and that it can be potentially detrimental. My rationale is as follows: it's not possible to change the final outcome once the liposuction procedure has been completed. Fat has either been removed or was left behind, and the results will follow based on how the procedure was performed.Scar tissue matures by itself and takes time. This is mostly through an inflammatory process that needs to run its course. Early scar issue, which is made up of collagen, needs to go through molecular changes called cross-linking. This process takes about six months to be completed. I don't believe that pushing against inflamed tissue speeds up collagen cross-linking. My biggest concern with a postoperative massage after liposuction is when patients receive firm, deep tissue massages that are painful. Pain is our body's signal that we are having tissue damage inflicted. The tissues are very sensitive after surgery and need to rest in order to heal. Physically manipulating healing tissues to the point of discomfort will simply create more injury, more inflammation and a longer healing process. When liposuction is done correctly, there should be no lumpiness, and results should come given the proper amount of time. I tell my patients it's okay to engage in any physical activity as long as it does not cause discomfort, though I generally encourage patients to leave things alone for at least the first few weeks.Best of luck,Mats Hagstrom, M.D.