Burning Sensation Normal Weeks After Lipo and Tummy Tuck?

Patients who undergo abdominoplasty and liposuction often complain of pain, swelling and skin hypersensitivity.  These are normal findings immediately following surgery, and usually resolve with time.  The hypersensitivity that you describe is known as a dysesthesia.  It’s very similar to what happens when your leg falls asleep.  This phenomena occurs when nerves are compressed, stretched or traumatized.  During and after these procedures the nerves are stretched and compressed.  In many cases, this is made worse by swelling.
Patients typically describe a tingling, burning sensation that can be very uncomfortable.  In many cases, clothing rubbing against the skin can elicit a burning sensation.
These symptoms usually resolve in six to eight weeks without intervention.  In some cases, aggressive massage can desensitize the area and minimize the pain and discomfort associated with this condition.

Thank you for your question regarding the normalcy of experiencing a burning sensation weeks after undergoing liposuction and a tummy tuck, and other concerns related to your postoperative care.

It is relatively common to experience various sensations, including burning, tingling, or numbness, after liposuction and tummy tuck procedures. These sensations are typically due to the healing of nerves and tissues that were disrupted during surgery. The feeling that the inside of you is "raw" or "burning" can be part of the normal healing process as nerves regenerate and the inflammation subsides. However, if the sensation is severe or worsening, it’s important to consult with your surgeon to ensure there are no complications such as an infection or a reaction to the materials used during the surgery.

Regarding the use of a compression garment, these are essential for supporting the healing tissues, reducing swelling, and helping the skin conform to its new contours. Most patients are advised to wear compression garments for several weeks post-surgery, typically ranging from 4 to 6 weeks, but this can vary based on your surgeon's protocol and the specifics of your surgery. If the compression garment feels like it’s rubbing you raw, discuss this with your surgeon. They may be able to suggest a different type or fit of garment that can provide the necessary compression without causing discomfort.

As for your back soreness and the palpable areas where liposuction was performed, these are also common. The soreness should gradually decrease as your body continues to heal. Gentle massage may help alleviate some of the discomfort and can aid in smoothing out the areas treated with liposuction. Massaging your skin more frequently can help, but it’s best to follow your surgeon's specific recommendations on the technique and frequency of massage to avoid any harm to the healing tissues.

In conclusion, continue to follow your postoperative care instructions provided by your surgeon, and don’t hesitate to reach out to them with any concerns or if the discomfort persists. Regular follow-ups are important to monitor your recovery and ensure that you are healing properly.

Sincerely,
Dr. Katzen

Thank you for your question.  What you are describing sounds very familiar.  Nerve pain post tummy tuck and liposuction is very common.  Discuss your concerns with your plastic surgeon.  Often, a prescriptions such as gabapentin or pain creams can help with this type of pain.  Best of luck!