Why do I have a hot fluid build up after liposuction?

Question

I have a lot of fluid build up after liposuction to abdominal area back and flanks my body feels Hot......

Vincent N. Zubowicz, MD · Answer

After liposuction there is always some swelling and retention of total body water. If your skin is excessively warm to the touch this should be reported to your own the plastic surgeon.

Joe Gryskiewicz, MD, FACS · Answer

Fluid build up after liposuction is a normal response your body will undergo after a procedure. Following your post operative guidelines that are given to you from your physician are extremely important in the healing process.   You will want to make sure that you are wearing your garment and doing light activity to assist in lymphatic drainage.  If you are experiencing localized heat after liposuction you will want to contact your physician so that they can distinguish what is causing it.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Aggressive liposuction like with a BBL can produce significant fluid and in those cases sometimes drains are necessary. Typically drains are not used and the garment effectively manages this. I would recommend you see your plastic surgeon for an evaluation ASAP. Earl Stephenson, Jr, MD, DDS, FACS

James Knoetgen, III, MD · Answer

Fluid buildup after liposuction, often called seroma, is fairly common and can occur for several reasons:
1.	Healing Process: During liposuction, fat and tissue are disrupted, and the body responds by sending fluids to the treated area to promote healing. This can lead to temporary fluid buildup.
2.	Lymphatic Drainage: After liposuction, the body's lymphatic system (which helps drain fluids) may be slow to adjust, leading to fluid pooling. Compression garments can help speed up this process by applying gentle pressure and supporting the drainage of excess fluid.
3.	Tissue Trauma: The trauma to the tissue during the procedure can cause the blood vessels and lymphatics to leak fluids into the surrounding areas, leading to swelling.
4.	Post-Surgical Inflammation: Swelling is a natural part of the recovery process. The body releases fluid to manage inflammation and support tissue repair.
It’s important to follow post-operative care instructions, such as wearing compression garments and staying hydrated, to minimize fluid buildup. If the fluid accumulation is excessive or causing concern, you should reach out to your surgeon for guidance.

Daniel P. Markmann, MD · Answer

Fluid production is a common and normal thing after liposuction and Tummy 
tucks.  That is why surgeons insert drains or leave the wounds only loosely 
closed so that the fluid can drain out.  But, definitely follow up with your 
surgeon for evaluation.

Adam David Lowenstein, MD, FACS · Answer

While a bit of swelling and fluid retention after liposuction is normal, a lot of fluid and a hot feeling are reasons to call your physician.  I recommend giving your surgeon a call and asking to see him or her to make sure all of your healing is progressing properly.Best wishes!

Why do I have a hot fluid build up after liposuction?

Answers (6)

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