Numbness and swelling after lower body lift; is this normal?

Massive weight loss patients often times (but not always), tend to have swelling or edema that sticks around longer than the average tummy tuck patient.  Sometimes it can take up to one year for this swelling to resolve completely. Numbness can last up to one year as well.  Sometimes there are areas of numbness that are permanent.Thanks for sharing!

Hello, and thank you for your question regarding recovery after a belt lipectomy. Congratulations on your weight loss and flatter tummy!

After a belt lipectomy, which removes excess skin circumferentially around the abdomen, hips, and lower back, you will need to take special precautions when sitting and sleeping to protect your incisions and promote healing.

For the first two weeks, most plastic surgeons recommend sleeping in a reclined position rather than lying completely flat on your back or stomach. The best way to do this is by sleeping in a recliner or using multiple pillows to keep your upper body elevated while slightly bending your knees. This reduces tension on your incision and helps minimize swelling. After two to four weeks, most patients can start transitioning to a more flat position on their back as tolerated.

In terms of sitting, yes, you will be able to sit after a belt lipectomy, but you should limit prolonged sitting in the first few weeks to avoid placing too much tension on the back incision. When sitting, it is best to use a pillow behind your lower back or a cushioned chair with good support to avoid putting pressure on the healing incisions. Some surgeons recommend avoiding sitting directly on the incision for the first 2–3 weeks and instead using a reclined or side-lying position when possible.

Yes, you must continue wearing a compression garment after surgery. Compression garments help reduce swelling, support the tissues, and improve contouring. Most plastic surgeons recommend wearing compression for at least 6–8 weeks after a belt lipectomy, gradually decreasing wear time based on healing progress. Be sure to follow your surgeon’s specific instructions regarding garment fit and duration, as improper compression can affect your healing.

Your recovery timeline may vary based on individual healing, so always follow up with your board-certified plastic surgeon for personalized recommendations.

Good luck, and I hope this helps answer your questions regarding sitting, sleeping, and compression after your belt lipectomy!

Sincerely,
Dr. Katzen

Swelling seems to dissipate slower in post bariatric patients. Numbness is often longterm and in many cases some of it is permanent. Patience in these cases is needed although frustrating. Good luck.