Doctor recommends NO compression first week after surgery

Question

I am getting lipo and afat transfer to the breasts in 2 weeks. During my pre-op, my doctor said that I wouldn’t be receiving my compression garment until my post op appointment, one week after surgery. He said he doesn’t recommend compression during the first week as I will be sore. He also made remarks that compression doesn’t really do anything. This worries me as I have read otherwise. He is a trusted doctor of over 15 years with successful lipo patients but I am not sure what to think

J. Timothy Katzen, MD, FACS · Answer

Hello, thank you for your question regarding the recommendation against compression in the first week after liposuction and fat transfer to the breast surgery. This is indeed an interesting question. Most experienced Board Certified plastic surgeons do recommend compression therapy following liposuction. The body's normal reaction to surgery is to swell, which is particularly true for liposuction. Most patients experience swelling for at least six weeks post-surgery. Therefore, most plastic surgeons recommend compression for at least 6 to 8 weeks after liposuction. Additionally, Lymphatic Massage is usually suggested in the first or second week. What your plastic surgeon may be advising is the avoidance of compression on your breasts where the fat grafting has been performed. Compression is typically not applied to newly transferred fat cells as it could harm or even destroy the delicate newly transferred fat cells. Therefore, in conclusion, most plastic surgeons do recommend compression therapy after liposuction for at least several weeks, typically advising at least 6 to 8 weeks of compression. Good luck. I hope I’ve answered your question regarding compression therapy after liposuction and fat transfer to the breast.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

Camille Cash, MD · Answer

Each surgeon will have her/his own protocols for post operative care.  Compression is used to help control swelling as well as give support to tissues as they heal.  It can be problematic if worn too tightly.  I encourage you to speak to your surgeon about your concerns.  It is important that you feel comfortable and confident as you prepare for surgery.

Carlos Mata, MD, MBA, FACS · Answer

Each surgeon has their own protocols based on their experience and what they believe yields the best outcomes for their patients. While it's common for compression garments to be recommended immediately after liposuction and fat transfer procedures to reduce swelling and support healing, some surgeons may have different approaches. Your doctor's recommendation against immediate compression could be based on his specific post-operative care strategy, designed to maximize comfort and healing in the first week. If your doctor has a long history of success with such procedures, this advice likely reflects his tailored approach to post-operative care. It's important to have open communication with your surgeon about your concerns. However, trusting your surgeon's guidance, especially if you've chosen him based on his expertise and track record, is crucial for following through with the pre- and post-surgery instructions.

Scott C. Lindsay, DO · Answer

Thanks for your question! Every doctor has their own set of recommendations that work best for them and their practice. I might suggest asking why this is his recommendation. Good luck!

Connie Hiers, MD, FACS · Answer

Every surgeon has his/her own preferences. I prefer to use compression garments for comfort, control and minimize swelling, and assist with skin tightening.  Plus, it is a reminder that you had surgery and to avoid excessive activities early on in your healing.

Doctor recommends NO compression first week after surgery

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Doctor recommends NO compression first week after surgery

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