Is it normal to be bigger a week and a half after Smart Lipo than you were before?

It's very typical to go through fluctuations in size during the early healing phase. Usually it appears that you are smaller when you first remove your garment compared to 7-10 days after the procedure. I find this is due to the initial continuous compression verses the intermittent (garment off during showers and washing of the garment) compression. Also, after the first few days you become more active and this can increase your swelling. It usually takes 2-3 weeks for you to start truly appreciating your results. It takes a few months to really remodel and soften-up for after photos. 

Swelling and bruising from liposuction can last many weeks, and the total healing process takes 3-6 months to fully heal.  You are in the early phases of healing and if you are worried about your result you should contact your physician.  My patients wear compression at night many weeks after their 2 weeks of constant use.  I suggest you do the same.  I wish you the best, Dr. Emer.

It is very common to expect to see fast results, especially after advanced treatments like Smartlipo Triplex.  Swelling takes time to resolve. The best thing to do is wear your compression garment as much as possible for a few weeks and evaluate your results in 3-6 months.