Is It Normal at Two Weeks After Vaser/smart Lipo for my Stomach to Sag After Garment off a Little While?

I had Vaser Lipo/Smart Lipo 2 weeks ago on my abs, hip area & saddlebags. I spent 7,500 and feel flabbier. I took my garment off yesterday and may noticed a difference. (maybe) I think my stomach may have looked flatter. I was showering and massaged the knots that just developed. I had my gament off for about 1 hour and by the time I got it out the dryer, I felt like my stomach was sagging again. Is that normal? Not seeing anything w/ other areas. Is it still too early to worry?

Doctor Answers 3

Post Vaser/Smart Lipo Care

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Thank you for your question. There is likely fluid accumulation in the treated areas, and you cannot evaluate the areas treated until 6-8 weeks have passed by. The garment is essential, and avoid wrinkles in the garment. This can leave lines on your skin. I hope this helps.

Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

Skin laxity after liposuction

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I agree completely with Dr. Parks well stated comments.  I inform my patients that final results are not seen until 4 to 6 months post operatively. I believe at 2 weeks, it is quite normal to see a significant amount of swelling in the abdomen. Unlike the hips where the skin is thicker and more adherent, the abdomen takes a bit longer to respond.  One possibility is that a seroma (fluid collection) could be the cause of this swelling.  This can be easily remedied with aspiration if present, so a visit to your surgeon would be prudent.  In patients who have received general anesthesia, large amounts of intravenous fluid may have been given.  If patients who are generally "swollen" and with weights up from their preoperative weights, I sometimes will administer a short course of a diuretic. I think you'll continue to see significant improvements over time.

Ronald A. Lohner, MD
Philadelphia Plastic Surgeon
4.7 out of 5 stars 21 reviews

Sagging Skin after Vaser/Smart Lipo

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Without seeing your preoperative and postoperative photos, it's difficult to give a specific answer to your situation. However, in general, the more fat that is removed from a particular area, the more "risk" there is to have residual skin wrinkling and sagging. The preoperative assessment and discussion with your surgeon should have gone over YOUR particular expected results.

At 2 weeks it's usually too early to tell what the final outcome of the sagging skin will be.  The Vaser and Smart Lipo system does have some skin tightening properties. But, it takes time for the connective tissue (collagen and elastin) to tighten up after the treatment. It will take months to see what your final result will be like. So, be patient. It should get better.

Thanks for your question. Best of luck!


Gregory C. Park, M.D.


Gregory Park, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 178 reviews

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