Should I be concerned with these effects 5 days post vaser? (photos)

Question

Just had post op w doc yesterday. He said I bruised more than typical patient but will all come down. Also he said my side effects of increased heart rate when standing/walking, nausea, headaches will also improve over time. Is this normal for some patients? My leakage did finally stop topsay(day 5). Front incisions were left open side/back were sutured shut w dissolvable stitches. Trying not to worry but didn't think I'd be in this bad of shape 5 days out. Thanks

Jed H. Horowitz, MD, FACS · Answer

Thank you for providing photos for reference. As you may know, there will be swelling and bruising after liposuction (or any other surgical procedure). Since your procedure is only 5 days ago, redness is usually the first stage of bruising followed by blue, purple, and finally, the healing stage of green and yellow. Looks like most of your bruising are blue and purple and healing stage would be next. Most of the #swelling and #bruising will resolve in the first two weeks, although some may persist for 6–8 weeks. 
Please be patient and make sure to follow the instructions provided by your plastic surgeon when moving forward through the healing process and make sure you get plenty of rest and treat the incisions well. Circumferential pressure (wearing of garment) is recommended for 4-6 weeks, but you may switch to an exercise garment (Lycra or Spandex) whenever it feels comfortable to slip it on or off, as you will have to do so in order to go to the bathroom. 
If you have any more concerns at all about your healing process, do not hesitate to contact your surgeon. You may also visit the web reference below for more extensive information about #Vaser liposuction #recovery. I hope your concern was addressed. #RealSelf100

Jason Emer, MD · Answer

This is way more bruising than normal may actually be a result of your compression.  hyperbaric oxygen would help.  I suggest seeing an expert.  Best, Dr. Emer.

Alexandra Chambers, MD, PhD · Answer

Thank you for your question and photos.Bruising is a possibility with any surgery and Vaser is not an exception. When blood seeps through the soft tissues it is referred as haematoma or bruising. Blood vessels will leak some blood after surgical injury -depending on site of surgery, type of surgery and fragility of vessels, clotting ability of any particular patients.Vaser HD and MD will be associated with higher chance of significant bruising.Normally extensive bruising ill be associated with some degree of anaemia which gives the symptms of weakness, headaches, dizziness. These patients will require iron supplements and very rarely might even need some blood transfusion. See you surgeon so he/she can check you for anaemia

Edwin Ishoo, MD · Answer

Looks like you had Hidef work done and have extensive bleeding which is why you've bruised. This is much more than I've ever seen and I've performed hundreds of Vaser hide procedures. The areas may become indurated long term. Recommend close follow up with your plastic surgeon.

Mats Hagstrom, MD (license on probation) · Answer

Bruising is the side effect scene when blood is left in tissues after surgery or injury.The hemoglobin in red blood cells slowly breakdown.As they do they become pigmented molecules that stained it tissues.This is a temporary process it can be disconcerting because of the way it looks.During liposuction tumescent solution is generally put through out the areas treated.This solution contains a numbing medicine called lidocaine as well as a medication called epinephrine.The epinephrine causes blood vessels to constrict's which basically shuts down the blood supply to the fat during the procedure.Think of it like turning off the water supply before you do plumbing.The effect of the epinephrine usually minimizes bleeding during liposuction.It's important to use to mess and solution methodically throughout all areas treated.This is generally done with great precision when liposuction is done on awake patients.when the procedure is done without General Anastasia every area is carefully treated with tumescent solution before any liposuction is begun.This generally gives sufficient amount of time to let the epinephrine take affect which makes liposuction an operation that has very little blood loss.This step in liposuction is very important to minimize bruising.If general anesthesia is used some surgeons do not place as much emphasis on the placement of tumescent solution.this can lead to increased bleeding during the procedure which will later show itself as increased bruising.The statements are not a reflection of how your procedure was performed in anyway.Some patients simply bleed more during the procedure than others.If patients take aspirin including baby aspirin or ibuprofen before the procedure then increased bleeding is also's often seen.Some patients simply bleed more during the procedure than I do.based on the amount of bruising in your pictures you probably lost some blood during the procedure.That would account for some of the symptoms you're having.Your body will make new Red blood cells rapidly.You should feel better within a few days though the bruising it will take several weeks to dissipate.drink lots of fluid and keep in close communication with your plastic surgeon.Best,Mats Hagstrom M.D.

Should I be concerned with these effects 5 days post vaser? (photos)

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