Is using foam under compression garments after lipo absolutely necessary?

Thanks for the question, I think I have literally tried every possible combination of garments and foams possible. We completely abandoned foam because it seem to cause more problems than it solves. At the end of the day I have realized its the technology and technique used in surgery that will determine your outcome not the garment or the foam. Make sure you are happy with your choice of surgeon!

Foam pads placed inside compression garments after liposuction serve one main purpose.  The prevent linear depressed lines/grooves that might form where seams in the compression garments or binder occasionally press inward when you sit or bend in certain directions.  They are not necessary but can be helpful.

Foam provides an even surface to avoid irregularities that can develop from garments that fold against your skin. They are typically used only in the first 1-2 week period and then the garment alone can be used after this.  They are most helpful in the anterior abdomen.  

Using foam under compression garments has been controversial at times in the field.  Some surgeons still prefer to use it; however, it is not a necessity by any means.  Every physician has a different technique and different recommendations about post-op care; there is no right or wrong answer.  The most important factor is choosing a physician that has experience in the procedure.

Foam underneath the garments is not absolutely necessary, but I do use it from time to time to help with proper compression.