Why do some surgeons require garments/fajas and lymphatic massages immediately post op, and others don't?

Thanks for your inquiry,  I use compression with binders, girdles, etc routinely after contouring procedures.  There are surgeons who are afraid that if the compression is too much it can cause skin loss by squeezing off the blood supply.  I usually provide and size patient's first set of garments reduce such a risk.  Good Luck.  

Each surgeon will have her/his own opinions on many facets of surgery, not just massage and garments.  It is important that you are comfortable and confident in the surgeon you select and the surgical plan created for you.  I encourage you to discuss your concerns with your surgeon to find out her/his reasoning behind the use of these treatments.

Surgeons have differing ideas on many issues. Typically these are issues where there is no clear consensus on benefit. While lymphatic drainage can temporarily "move" fluid early post-op, it is quite uncomfortable when done well and has not been shown to improve long term results. In terms of garments, I believe the strongest reason to recommend them is the patients are much more comfortable with the external compression offered, especially in the first few weeks. While I generally stop the garments within three weeks, other surgeons recommend them for three months - and some patients prefer this.

Lymphatic massages after aggressive body liposuction allows the excess fluids to be expressed and helps prevent internal sub cutaneous scar fibrosis. It also seems to speed the healing to make recovery much easier. 

Postop instructions may vary from surgeon to surgeon.  Others require garments and massage, while some doctors think that they are nothing but a superfluous practice.  Personally, I recommend the use of compression garments to help remodel the skin after liposuction and keep swelling (edema) to a minimum.Good luck and best wishes.