I am 4 weeks post hi-def Vaser Lipo on abs. 2 weeks ago I started getting hard lumps. Is this normal? (Photo)

Thank you for your question and photo. Yes, as the others said, you are early in your recovery and your final result is 4-6 months from surgery. I can tell you, based on this one frontal view photo, that your sculpting is not based on your underlying muscle anatomy. Your surgeon did create grooves with superficial liposuction, but not in the right places. Your semilunar lines are not defined, your mid-abdomen looks like a small crater, the epigastric depression is a triangle. You did not seem to have liposculpting of the upper abdomen and anterior/lateral rib cage.You need to allow for your tissues to heal and soften up, but I'm fairly certain that you will need another surgery using the VASER Hi Def Lipo technique to give you an athletic more youthful abdomen. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck with your healing.

This is a normal occurrence which  will correct over time. You where right to employ lymphatic massage this helps greatly. Keep it up. Warm soaks or bathes while massaging the areas helps as blood and old fluid has accumulated under the skin from the trauma of the procedure. You will come out fine over time. Make sure to do your follow ups as told. Hope this is helpful to you. JB

Hello dexter2272, 

It’s a pleasure to answer your questions! Four weeks is too short of a time to assess your surgery outcome. VASER Liposuction maximum results would take up to 6 months to show.Plastic surgeons have different post-operative protocols to achieve the best surgery results, customized for every patient. I typically recommend my patients to wear specialized compression garments 24 hours a day, during 6 months, to help the skin contract smoothly to their new body’s contours. Since ill-fitting garments can lead to contour irregularities, I advise my patients about the correct method of using them, to limit folds and creases in the garments, and regularly check if they are worn properly. Based on your picture, I would recommend getting a minimum of ten lymphatic drainage massage sessions promptly to eliminate excess lymph fluid, alleviate swelling, and prevent complications such as seromas (fluid collection) and contour irregularities (indentations, dimples, fibrosis). In my experience, manual lymphatic massages by their own have proven successful, in the majority of cases, in achieving uniform removal of swelling and ensuring smooth contours. It is worth noting that contour irregularities, many times, are not controlled by the surgeon. How your skin reacts and contours after the fat is removed depends on different factors, namely, skin elasticity, age, ethnicity, health status, lifestyle habits, and the number of previous surgical interventions patients have had, among others. Since every case is different, consult with your plastic surgeon about your specific needs and concerns. Good luck and may God bless you! Dr. De La Cruz. 

Thanks for your question and photo.  At 2 weeks post-procedure, you are about at the point of maximal swelling.  All of the hard, lumpy areas are places where there is more inflammation and swelling.  Massage should help, but will not magically make this go away - the only thing that does that is time.  The swelling should slowly go down over the next several weeks to months.  The hard areas should soften, but will likely feel firm and "rubbery" for up to 4 months.  Trace amounts of swelling can last up to a year in some people.  If there are places that are markedly more painful than others, especially if the pain is increasing, then it could be a localized pocket of fluid, called a seroma, which may require drainage.  If that is the case, be sure to bring that to the attention of your surgeon.  Seromas are a common minor complication of any liposuction procedure and usually do not pose a real threat, just a minor nuisance.  It looks to me like your doctor did a good job and you should have a really nice result, once all the swelling goes and the skin starts to tighten down (4-6 months for that).

Hi there.  Hi-def vaser liposuction can be a fairly aggressive treatment.  I would follow your doctor's advise and continue with massaging.  From my experience, such swelling and bumps do soften out over time and should hopefully go away with time.  Some possibilities for hard lumps could be seromas or scar tissue, both of which should gradually dissipate.  It takes 6-12 months to see final results from a vaser liposuction procedure.  Keep us posted on your progress.

Immediately after surgery you are smaller!But Yes, it is quite typical to feel lumpy bumpy during the first 6-8wks after surgery. Swelling starts to go down around 2nd week, and feels harder.Wear your compression garments 24/7.Progressively from the 2nd week on, for the next 6-8weeks you will get smaller and smaller.Choose an expert. Best. Dr Brecht Seattle, Wa

Dexter hard lumps after vaser liposuction are normal during the first 6 weeks and in some patients more time depending on the post surgery care, and day by day activity, which may take longer from 3 to 6 month. This is cause by  fluid accumulations in isolated spots due to uneven resolution of swelling which produces the high and low points, as well as hardness. But, there is some aggressive liposuction techniques where hard lumps or uneven spot may be permanently. 
In your case I think is too soon to see the real results. I really recommend you to keep with your lymphatic massage, ultrasound to help the inflammatory process, and if possible carboxy therapy that helps in the process of healing faster, helps to avoid fibrosis or minimize it, and and is going to help you to minimize the hardness and lumps. 
I hope this helps.