I’m not writing my faja because I don’t think I need it. Di I need a whole faja?

Question

Sounds crazy. I had a BBL 9 days ago I am 5’7 at 137 lbs. During all of my drainage massages I had only spots of fluid come out. My body didn’t retain any additional fluids really and I’m only slightly swollen. For the most part my tummy and back are only kinda tender and slightly numb but other than that I feel fine. The faja given to me is way too big/baggy after the 4th day and they say I need that for 3 weeks. Do I need a whole faja? Can I just wear a waist trainer instead?

Roger Tsai, MD · Answer

Great question!  You need to wear a garment which will decrease fluid buildup, decrease swelling, and help contour the areas of liposuction.  A waist trainer is great for the torso region.  If you had liposuction of your thighs or arms then you would need compression garments here as well.  You don't need any compression around the buttock region.
Best of luck and hope this information helps!
- Dr. Roger Tsai
Board Certified Plastic Surgeon

Carolina Restrepo, MD · Answer

Thanks for your question.  It's best to follow your surgeons specific advice post-operatively. I  have my patients wear a compression garment (faja) covering all treated areas 24/7 except to shower for 4 weeks post op.  This helps ontrol swelling as the compression on your tissues helps your body to reabsorb the edema fluid that accumulates in the tissues after any procedure. This can take quite some time to happen without help from the compression garments.  It also helps improve  contour.  Compression helps to keep the tissues adherent to the underlying structures while healing, this can help prevent the wrinkled skin appearance that can happen when the tissues heal in ways we don't want them to.

Kenneth Hughes, MD · Answer

I would ask your plastic surgeon about garments and the duration of wear, because each plastic surgeon will have a different protocol.   I utilize the compression garment to help manage and prevent fluid collections after liposuction.  It is a method to close dead space following liposuction while the flap adheres to the underlying abdominal wall.  The compression garment is far more important in aggressive liposuction than in conservative liposuction.  Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Daniel Barrett, MD · Answer

Dear Babydoll96,
compression garments are used to promote healing and reduce swelling. It should be tight in order to provide pressure, but not too tight to cause pain and discomfort. Every plastic surgeon has his own postoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Dallas Buchanan, MD · Answer

Thank you for your questions. This is something that only your surgeon can answer and I would encourage you to reach out to him or her to discuss. You should not deviate from your post-op instructions without explicit instruction from your surgeon. Good luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Raffi Hovsepian, MD, FACS · Answer

Compression garment protocols and adjunctive therapy like faja, binders, foam pads etc. vary from surgeon to surgeon. Post-operative compression garment therapy is very important in order to achieve the best result. Garment therapy can help further achieve ones result faster and mold it better. However, if a garment does not fit correctly, unevenly distributes pressure, or is too tight... it may affect and hinder ones overall result.
It is always best to review and make sure your garment is adequate by reaching out to your surgeon in order to maximize your result.

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well.
Each doctor has their own protocol It is very important that you talk to him and follow his instructions.
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.
It is important for the compression garment to be very tight, for it to help with the swelling, after surgery.
If you have any concerns, please follow up close with your plastic surgeon.
Good luck :)

Frederick G. Weniger, MD, FACS, MBA · Answer

Thank you for your question. I advise my patients to wear compression for 6 weeks after liposuction. As you stated, the areas look great, but that is most likely due to the fact that you've kept compression on. When functioning on a daily basis, my patients state they see fluctuation in swelling, with the end of the day being the maximal swelling point. With that being said, if you allow the area to swell, it allows the skin to stretch, and increases the risk of a seroma. If the skin stretches, you may end up with excess skin laxity when the swelling goes away, especially in the abdomen. Every surgeon has different post-op protocol so I'd visit your BCPS for advice but I would recommend my patients where compression garment, or binder that covers any area where liposuction was performed. Good luck and best wishes!

Stephen M. Davis, MD, FACS · Answer

Thanks for writing,We feel support is only to the benefit of the patient and the area worked on. The FAJA help eliminate dead space, controls swelling and helps control skin. I would definitely ask your operating Plastic Surgeon, as we all have protocols that work well for us individually. Good luckStephen M. Davis, MD, FACS
Certified: American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery
Member: American Society of Plastic Surgeons
Member: RealSelf Hall of Fame

Michael L. Spann, MD · Answer

I would recommend you discuss with your surgeon. Some will transition to different phase garments after surgery. I tend to recommend shapers out a matter of comfort to the patients and don’t see a great deal of difference between these and the Faja.Best wishes

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