Bigger Belly After Smartlipo Still After Almost 3 Weeks, How Long Before for It Will Shrink And/or Heal?

I had Smartlipo MPX 18 days ago, knees, inner thighs and upper and lower abdomen, a total of 600cc from these areas was removed. I am ideal body weight with those areas never responding to exercise. I am seeing the knee results, barely the thigh area and my belly is now bigger then it ever was!! It does have the "lumps that I am massaging and I am in a compression garment at this time. My Dr. saw me follow up 1 week was not concerned with swelling and suggested massage to areas if not to tender.

Doctor Answers 8

It can take 6 months for maximum benefit. be patient

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it is way too early to judge your Smartlipo results. it can often take 2 months before you start to see a difference (it can also show up earlier). 
you just need to be more patient. you should be getting back to exercising by now and watch your diet.
You can certainly enhance your results by losing weight. 

i beg to differ with one of the opinions below: since you are having Smartlipo on your body,
i would see a board certified plastic surgeon and not an ENT facial surgeon which is 
NOT a plastic surgeon. you are doing body work so why would you select a facial surgeon?

your doctor was absolutely correct not to be concerned. i agree with his suggestion of massage
good luck

david berman md


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Thank you for your question, wishful. You are in the initial recovery stages because it take sup to 6-12 months for SmartLipo to take effect. Many of our patients prefer SculpSure because of the short recovery timeline (6-8weeks) and its ability to melt up to 25% of their unwanted subcutaneous fat in their belly and flanks regions. Please consult with a board certified facial plastic surgeon.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 123 reviews

Bigger Belly After Smartlipo Still After Almost 3 Weeks, How Long Before for It Will Shrink And/or Heal

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Dear  wishful.  Thank you for submitting your question. Swelling after liposuction will last for many weeks after surgery.  Final results take 6-12 months. Continue to use your contour garment, massage the hard areas , external ultrasound and lymphatic massage will help to decrease swelling faster. Discuss your concerns with your Plastic surgeon.

Bigger belly after 18 days

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all wounds especially from liposuction will get bigger over the first few weeks, should not worry at 18 days, your surgeon was right, massage and time will result in smaller abdomen and nicer results

David J. Goodkind, MD
New Haven Plastic Surgeon

Post Lipo

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At only under 3 weeks you certainly have swelling that would mask the result of your surgery. I tell my patients to be careful about salt intake as this can make swelling worse. It can easily take 2-3 months to see your final results after a big surgery like you had.  Be sure to keep any scheduled follow up appointments you have with your surgeons for his evaluation and advice. Good luck, Dean Vistnes.

Smartlipo healing time

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Give yourself time to heal properly, follow your surgeon’s instructions. You may still be swollen under the skin.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Fullness after liposuction

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It is very common to have swelling (or edema) in the areas that have been treated with liposuction. It is advisable to wear a compression garment for about 6weeks after liposuction to help avoid or diminish the swelling. The swelling will continue to improve with time. It can take up to 6 months to see complete resolution of the edema. 

Abdominal swelling after Smartlipo

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It is not uncommon to have tissue swelling or even fluid collection such as a seroma after liposuction especially when using a device as a LASER that heats or burns tissue. In my practice, we perform intensive post-lipo care for the first 7-10 days after the procedure to help remove excess fluid and allow the tissue to contract and generally switch to less compressive guarments after that period so as to minimize venous or lymphatic congestion. 18 days is early but if seroma is left untreated, it may form a long-term fullness or "lump" which is difficult to correct in the future. I would advise close follow up with your surgeon.


Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.