I'm 6 weeks post Vaser liposuction and I don't see any difference. What are some signs that this will change?

Question

I am 6 weeks out from my VASER liposuction of outter thighs, inner thighs, lower abdomen and flanks. I'm worried because I see zero change. I feel like I look the exact same as I did when I went in and I weigh the same. No one has even noticed or complimented me. Also, I am lumpy and bumpy in my stomach area (which I hear is normal). I have also noticed that my skin is darker on flanks and outter thighs. It almost looks like a birth mark but is not a bruise anymore. Will all of this resolve?

Jed H. Horowitz, MD, FACS · Answer

Hi, 6 weeks is too soon to see results because swelling and bruising may persist up to 8 weeks. Please be patient as you can usually begin to see #results 2-4 months later as the swelling continues to diminish and contours become more defined, but improvement will continue for 4–6 months as swelling and irregularities resolve. These contours can even improve throughout the year after surgery. Also, the suctioned area may feel “lumpy” and irregular as you heal. This decreases with time and massaging those areas will hasten their softening. It is best to strictly follow the prescribed aftercare for best results and do not hesitate to contact your surgeon if you have any more concern. Best of luck! 
#RealSelf100

Jason Emer, MD · Answer

you should notice results immediately, although you do see results improve in 3-6 months my patients see these changes right away.  If you are not happy please speak to your physician or go to a full hi definition body shaping expert to evaluate if you need a more hi definition contouring procedure that really shapes and defines you.  Best, Dr. Emer.

Edwin Ishoo, MD · Answer

At 6 weeks you should definitely see significant improvement. Vaser is a fantastic device but it will not overcome poor technique and poor training. Please discuss your concerns with your surgeon.

Alexandra Chambers, MD, PhD · Answer

Thank you for your question.Result of any body sculpting procedure including Vaser liposuction depend on many factors: how much fat was removed, what your body shape was before surgery (if you were already not too bad in shape before surgery any liposuction will not alter your silhouette noticeably).Skin thickness and elasticity -thinner skin will re-drape post surgery less favourably. Type of body sculpting you had- High definition gives more contouring leaving almost only skin and muscle behind. De-bulking Vaser will just reduce thickness of adipose tissue layer.In a study of 100 patients followed up after Vaser operation in our clinic we identified following regarding recovery, swelling, lumpiness can last up to 42 days , any residual unevenness after that is unlikely to change significantly-so contact your surgeon to assess the situation and plan action to remedy.Unevenness is possible after any type of liposuction and Vaser is not an exception , although considered to have less risk of that.Skin discolouration (darkening, mottling or hypo-pigmentation) is common again after any liposuction in people of skin types 3 to 6 (darker skin tones). It tends to improve but might take longer than 6 months.

Darryl J. Blinski, MD · Answer

Sorry for your posted issues. You are describing some of the down falls of Vaser use in liposuction: minimal noticeable changes, dis coloration which could be permanent, lumps. Best to seek in person second opinions from expert lipo PSs in South Florida. Plus posted photos always help res[pond to your issues in more informative nature..

Mats Hagstrom, MD (license on probation) · Answer

When liposuction is done correctly on someone who is a good candidate for the procedure, immediate improvements should be seen. From then on, improvements should only continue to get better over the following three months. At six weeks, most patients have a good indication of what the final outcomes will be. At this point, it is also typical to have lumpiness if the procedure was performed correctly. The main reasons that patients fail to see results after liposuction has to do either with not being a good candidate for the procedure in the first place or the procedure performed incorrectly or insufficiently.I suggest you bring up all of your concerns with your provider.  You may see some further changes, though if you are not appreciating any improvements and have a lumpy outcome at this point, then your final long-term results will most likely not be substantially different.  Best of luck,Mats Hagstrom, M.D.

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