Doctor recommends NO compression first week after surgery

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.

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

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.