Will wearing compression vest cause stomach/abdomen pain/discomfort?

Question

I just have my gynecomastia surgery done 18 days ago(liposuction + glandular tissue removal). I wake up with discomfort and a little pain from abdomen region(may be from stomach) and lower back EVERY MORNING since the day I started wearing the compression vest. But those feelings get much better and are gone very soon after I get up(walk or sit). It only happens when I lying on bed for a long period of time such as sleeping. Is it caused by wearing the compression vest?

Jed H. Horowitz, MD, FACS · Answer

Our patients are required to wear a compression garment for the a few weeks following their #Gynecomastia surgery. The #compression garment helps to reduce the swelling, and the longer it is worn, the more quickly you will heal.We recommend it not be removed, at all, until the second or third day after the surgery. After that, we suggest they feel free to temporarily remove the #garment for showering or laundering only. We encourage our patients to maintain circumferential pressure for 4-6 weeks, but they may switch to an exercise compression garment when advised.

Mathew A. Plant, MD, FRCSC · Answer

It is certainly possible that the vest could be compressing things too much. See your surgeon to ensure the best isn't too tight. Hope that helps!

James Knoetgen, III, MD · Answer

Wearing a compression vest after gynecomastia surgery can cause some discomfort, but it should not cause significant pain or abdominal issues if it is fitted correctly and used as recommended. Here are some potential reasons for discomfort and ways to alleviate it:
Potential Causes of Discomfort:
1.	Incorrect Size or Fit: If the compression vest is too tight, it can cause pressure on the abdomen, leading to discomfort or pain.
2.	Extended Wear: Wearing the vest for too long without breaks can cause discomfort.
3.	Post-Surgical Sensitivity: The body may be more sensitive after surgery, making the compression garment feel more uncomfortable.
4.	Improper Positioning: If the vest is not positioned correctly, it can bunch up or create pressure points.
Ways to Alleviate Discomfort:
1.	Ensure Proper Fit: Make sure the compression vest is the correct size and fits snugly but not too tightly. It should provide support without causing excessive pressure.
2.	Gradual Adjustment: Gradually increase the time you wear the vest to allow your body to adjust.
3.	Take Breaks: If possible, take short breaks from wearing the vest to relieve pressure and allow your skin to breathe.
4.	Proper Positioning: Adjust the vest regularly to ensure it sits correctly and does not bunch up or create pressure points.
5.	Hydration and Skin Care: Keep your skin hydrated and take care of any irritation or sores promptly.
When to Seek Medical Advice:
•	Persistent Pain: If you experience persistent or severe pain, consult your plastic surgeon.
•	Signs of Infection: Redness, swelling, warmth, or discharge at the surgical site should be evaluated by a healthcare provider.
•	Breathing Issues: Difficulty breathing or significant abdominal pain should be addressed immediately.
If you continue to experience discomfort despite these adjustments, it's important to discuss your concerns with your plastic surgeon. They can provide guidance and ensure that your compression vest is aiding your recovery without causing unnecessary discomfort.

Babak Dadvand, MD · Answer

Hi 12211_1,Thanks for the post. It is certainly possible that the compression garment can cause discomfort if it is too tight. The benefit of the compression vest is to reduce swelling in the early post operative period. However, it should not be too tight. I would bring this up with your plastic surgeon and go by their recommendation.Sincerely,Dr. Dadvand

Robert E. Zaworski, MD (retired) · Answer

It is certainly possible that the compression garment could be causing the pain.  See you surgeon as he may want to change garment style.

Will wearing compression vest cause stomach/abdomen pain/discomfort?

Answers (5)