Will this indent in my mons pubis post liposuction go away? (photos)

Question

12 days post op. woke up post op with a garment on and padding (like bed wetting paper) 1 flat across back and 1 big pad in front rolled up but was flat. I wasn’t told what this was for & when/if to remove it. Over the week the chunky padding moved around mons where I used the toilet etc. I finally emailed clinic- was told it was just for weeping & safe to remove. I now have big indent where it was. Is this forever?

Kenneth Hughes, MD · Answer

Hello.
Great question. At 12 days post op you have yet to see your final results. Swelling is normal. It can take up to six months for all swelling to go down. Keep following your surgeon’s post op instructions.

Alex Campbell, MD · Answer

Thanks for your question. Swelling in the first week after liposuction is quite common. There is a process of swelling and bruising that peaks at 3 days after surgery and then undergoes the first stage of major resolution in the first 2 weeks after surgery.  The lateer phase of healing takes place over the 2-3 months after surgery where everything really settles and softens.  It is after this time that we are getting close to the final result, though this varies patient to patient.

Daniel Barrett, MD · Answer

Dear TaraUK,
I understand your concern and it is quite normal to be concerned about the outcome following a liposuction surgery. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides  you will be able to see the final result of your surgery. Most likely that this will improve once your swelling resolves. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Robert M. Tornambe, MD · Answer

TaraI appreciate your concern, but it still too early to evaluate your final result. At this early stage of your recovery, there is still significant swelling. It can take as long as six months for all swelling to resolve. Try to stay patient and positive follow up with your plastic surgeon. Good luck.

Charles Nduka, MD · Answer

You are still early in the healing process and what you are seeing are not your final results yet. Liposuction usually takes around 6 months to fully heal and only by then will you be able to conclude your results. Indentations are not uncommon early in the healing process and these will usually resolve as you heal through the coming months. Follow your surgeon's instructions to prevent complications.

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well.çYou are still early on the healing process, it can take up to six months to see your final results, so please be patient. At the stage you are in, inflammation is normal.
I suggest my patients to try the lymphatic massages and to use a full body compression garment, 24/7 for the first 3 months, and after that, for 12 hours a day for 3 more months, to get the best results.
If you have any concerns, please follow up close with your plastic surgeon.
Good luck :)

Connie Hiers, MD, FACS · Answer

You are very early in your healing phase and still have a lot of swelling, especially in that area. Padding should not give you any permanent indentation. You can massage the area as well. Please discuss any concerns with your surgeon.

Matt Erdmann, MBChB, FRCS(Eng), FRCS (Plast) · Answer

You are still early on in your recovery. Liposuction can take up to 3 months to even out so I would give it this long before you return to your PS.I would suggest that you see your PS for advice and reassurance at that time

Mats Hagstrom, MD (license on probation) · Answer

The placement of your pads will not affect the final outcome after liposuction even if it causes a temporary indentation. If this was caused by the absorbent gauze and it most likely should've resolved 24 hours after taking out the pad. Some irregularities are coming early after liposuction. Six weeks is a good time to start looking in the mirror. Try to stay calm and avoid staring at your results for hours and hours. Looking at early liposuction results makes people upset and has zero impact on the final outcome. Follow up with your plastic surgeon. Most likely this will improve substantially if not completely with time.  Best, Mats Hagstrom M.D.

John E. Nees, MD - Account Suspended · Answer

Hi and welcome
to our forum!
Congratulations
on your recent procedure...The procedure of liposuction is an
"insult" to the soft tissues, resulting in swelling which will
initially totally obscure the operative result. Swelling represents an
accumulation of tissue fluid within the soft tissues. The application of localized compression to the involved area will cause a temporary indentation which will most likely dissipate with time.You should make your surgeon aware of the problem so that it can be monitored during early healing. 
The
purpose of a compression garment is to prevent bleeding and to control
swelling. We usually recommend its use for the first 4-6 weeks after the
procedure. 
60-80%
of the swelling should subside within the first 6 weeks, with the remainder
slowly subsiding over 6-12 months.
In the unusual situation where the indentation persists, secondary revision could be contemplated in 6 months. 15% of cosmetic procedures may require a secondary touch up.
Best wishes.

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