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Every patient has a different pain tolerance, and the amount of pain greatly depends on how aggressive the liposuction procedure was. Overall, I would say this procedure is not extremely painful. Liposuction feels similar to the soreness you experience after an aggressive workout. I've never had a patient complain of pain from the buttock fat grafting, only the liposuction.
Many patients are concerned with the amount of pain they will experience after Liposuction. We do a large number of Liposuction procedures with Fat injections to the buttocks. The tumescent fluid that is injected for liposuction contains a local anesthetic which provides pain relief for several hours after surgery. This gives the patients time to begin their oral pain medications relatively soon after the procedure. Most patients describe the pain after liposuction as more of a soreness rather than a sharp pain. The pain medications taken routinely for 3-6 days post operatively work well and easily control the pain for most patients.
Pain can be difficult to gage. People respond to pain differently. Liposuction is usually not extremely painful. There is a lot of soreness that can limit your activity. Severe pain with liposuction and fat transfer is not the norm.Seek the opinion of several board certified plastic surgeons and their experiences with the procedure.Good luck.Dr. ES
Although it may look like it should hurt, liposuction is one of the easier recoveries after surgery. Most patients are up and around right away, and return to work within a few days. It is not uncommon for patients to not need any prescription-strength pain medication. Same for fat transfers, including the bottom. There are of course exceptions, but that is typical.
Liposuction under local anesthesia by the tumescent technique is almost painless and so easy to go through. With all liposuctions you will need some sort of pain meds for the first week but most patients are back to work in 2 days.