35 days after medial thigh lift, my left foot/ankle is swelling MUCH more than my right. Lymphatic system disturbed? (photos)

Question

I had an extended medial thigh lift on March 20 (35 days ago) and of course I expected swelling but why is my left foot/ankle swelling at least 80% more than the right? I am spending at least ~15 hours a day with my legs elevated above my heart. A examination was made to see if it was a DVT, results came back negative. Doctor says my lympathic system is disturbed from the surgery, but he didn't offer any recovery suggestions. How long will this last and what can I do?

Michael S. Lofgren, MD, FACS · Answer

Thanks for your question and photos.
Swelling following any type of surgery is common but after things like a thigh or arm lift can be significant.  You certainly fall into this category.  The thing we worry about the most when seeing such unequal swelling is a blood clot in the deep veins (DVT).  You absolutely did the correct thing in making sure this was not the cause as it can be fatal if not treated.  
The surgery itself does compromise the natural lymphatic drainage of the leg leading to swelling.  Additionally, your internal anatomy, specifically the venous drainage, also has a role in this as well.
The good news is that it usually improves with time.  I agree with elevation of the leg as much as possible when sitting but make sure you keep walking on a regular basis.  I usually use compression stockings following thigh lifts as well.  Just make sure you get ones that go from the foot to high on the thigh.  Wear them as much as possible.  Lymphatic massage of the leg can also help reduce swelling and increase comfort.  Make sure you follow up with your surgeon.
Best wishes.

35 days after medial thigh lift, my left foot/ankle is swelling MUCH more than my right. Lymphatic system disturbed? (photos)

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35 days after medial thigh lift, my left foot/ankle is swelling MUCH more than my right. Lymphatic system disturbed? (photos)

Answers (1)

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Everything you need to know about Thigh Lift

Our mission is to create a world where every investment in modern beauty is Worth It.