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!

I think it is super helpful to wear foam underneath your garment after lipo for several reasons. One is comfort—it feels better to have the extra padding. It also helps to control bruising and line formation, protects the skin from circulation problems as it displaces the pressure of a garment, prevents seams from indenting and etching the skin, and can be used to apply more pressure in areas known to accumulate fluid like in the back just about the buttock crease.
The foam should be applied by therapists who can also perform massage and lymphatic drainage and understand the healing process, know where to place the foam, how to place the foam, and provide guidance on garment fitting. I send all of my lipo and BBL patients for ten or twenty massage treatments after lipo and I think it is very, very helpful to the patient in terms of comfort, minimizing skin problems, and obtaining the very best results possible.

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.