Hardness and Lumps 2 Months After Tumescent Liposuction

                  It’s
not unusual for patients to experience, lumps, bumps and swelling following
tumescent liposuction.  In most
cases swelling resolves in 3 to 4 weeks following treatment, but in some cases
may persist for 3 to 4 months following this procedure.

                  When
patients develop localized swelling other explanations should be
considered.  In some cases a seroma
may be present.  When bruising is
present a collection of blood known as a hematoma may be responsible.  When these collections are large they
may require drainage, but in most cases can be managed conservatively with
compression and massage.

                  If
your lumps are failing to respond to conservative management, you should
contact your surgeon.  Your surgeon
should be able to evaluate your situation and provide an appropriate course of
action.

You should see your surgeon. They should evaluate your lump with an examination.  A hematoma is a collection of blood and this can solidify over time and resolve eventually. Hematomas tend to have a higher chance of looking darker than seromas which are clear. Seromas may need to be drained multiple times and treated with compression. Hematomas can be drained if they liquify. There are some treatments for these if your doctor agrees.

This will heal over time but may take 6-8 months to fully resolve.  Try using the Vasershape, Vela Shape or Smoothshape to accelerate the resolution. Thank you for your question.

Firmness and lumpiness are very common after liposuction of any type. If you are having skin irregularities it is possible that these were pre-existing.  It is the soft tissues normal response to trauma.  More than likely the swelling is better in the morning when you first wake up and gets worse throughout the day as you go about your normal activities.  Light massage is beneficial but in general it just takes time for this to resolve.  Look for it to remain about the same for the next three weeks and then begin to get better between the 6 th week and the end of the 3rd month.  Continue to wear your compression garment as instructed. You should not be worried about a seroma at this point.  You just need more time for the treated areas to get soft. 

It sounds like most of your areas have healed normally with harness and lumpiness being gone in a month or so. 

This one area of tenderness and lumpiness could be a collection of clotted blood (hematoma) or lymphatic fluid (seroma).

Since it has been two months, your physician should evaluate the area, to see if  the lump needs to be drained. If so, don't worry. That could easily be done in the office and have just a small dressing afterwards.