How can I get smooth results after Vaser Lipo on my abs?

Question

I had Vaser Lipo done in Feb 2015 on my abs and inner/outer thighs. Six months later I had a huge lump on my stomach and uneven inner thighs, so my surgeon agreed to touch up. It's been 4 days since I did my abs and first they were flat and I was so excited, but today it looks like I've got a bump growing again... I've already done 3 sessions of manual lymphatic drainage massage (1 before, 2 after) and wonder if I should do anything else to ensure a smooth result?

Jed H. Horowitz, MD, FACS · Answer

Yes, you may feel "lumpy" and irregular along the suctioned area as you heal, but massaging those areas will hasten their softening and they will eventually decrease with time. #Recovery varies greatly between patients, especially inner thighs are the slowest to heal and 4 days too soon for swelling and lumps to go away. At 2 weeks, most of the swelling and bruising will usually resolve but may persist up to 6-8 weeks. Please be patient as improvement of #results will continue for 4–6 months as swelling and irregularities resolve. These contours can even improve throughout the year after surgery.If excess skin is the issue, you may also want to try non surgical devices such as #ThermiSmooth radiofrequency and #VelaShape3 (visit web reference below) to help tighten skin after liposuction for patients who will benefit from this additional care.
It is best to continue and strictly follow the prescribed aftercare and contact your surgeon for any additional therapy that you may need. Circumferential pressure (garment) is recommended for 4-6 weeks then you can change into Lycra or Spandex for more comfort beyond 6 weeks. Do not hesitate to contact your surgeon if you have any more concerns. Best of luck! #RealSelf100

Jason Emer, MD · Answer

It is very common to have bruising and swelling for weeks to months after liposuction procedures.  What is most important is that you follow your surgeons post operative instructions and continue compression.  If you are concerned, lymphatic massage and Velashape or Venus Legacy treatments can be used to improve the swelling and help the skin tighten.  My patients start treatments right away and it improves the long term results.  I have all my hi definition liposuction patients wear foam vests if there is any healing issues for 4-6 weeks.  Speak to your physician if you are concerned.  Best, Dr. Emer.

Edwin Ishoo, MD · Answer

Many surgeons do not recognize or properly manage post-operative serums. I believe the incidence of seroma especially after Vaser (thermal and mechanical trauma) is 100%. Lymphatic massage is not effective and possibly harmful by aggravating inflammation. The drainage technique is highly specialized and must be done daily for the first week along with foam compression and needle aspiration of seroma pocket. I also use corticosteroids and diuretics to control post-operative inflammation and edema. Post-operative care of lipocontouring is essential to the final cosmetic outcome. Pre-op massage is useless.

Mats Hagstrom, MD (license on probation) · Answer

As I'm sure you know, lumpiness and early uneven contours are common after liposuction. This is especially true after revision liposuction. When revisions are done, the areas are purposely treated unevenly in order to correct for the previous uneven procedure. In other words, during a revision, areas that are too full are treated more aggressively, and areas that may have been over-liposuctioned are not treated at all. This inevitably leads to an early uneven contour that should, if the procedure is done correctly, lead to a smooth, even contour for your final results.I don't personally believe there's anything that can be done to change the results of liposuction once the procedure has come to a completion. It's not possible to manipulate final fat distributions by postoperative manual manipulation. I personally do not believe massages are indicated after liposuction, but many surgeons do. I know of no science supporting benefits from post-liposuction massages. For my own patients, I tell them it's OK to engage in any activity that does not cause discomfort after liposuction but to avoid anything that causes discomfort.If your procedure was done correctly, then good results will follow. If the procedure was not done well, then less-than-ideal results will be the outcome. Let's hope for the former.Best of luck,Mats Hagstrom, M.D.

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