When fluid settles around the vagina/mons pubis, is it likely to develop fibrosis? How can these areas be compressed?

Question

I am looking to do a bbl

Semih Yildiz, MD, FEPOBRAS · Answer

After BBL/liposuction, swelling can settle in low areas such as the mons or labial region because gravity and temporary lymphatic disruption move fluid downward. That does not automatically mean fibrosis, but a persistent seroma, prolonged swelling, aggressive liposuction, or poorly controlled inflammation can sometimes heal with firmness or scar tissue.

Compression in this area should be planned with your surgeon before surgery. A properly fitted faja or abdominal garment with smooth lipo foam, a mons pad, or carefully placed soft padding may help support the pubic area, but tight pressure directly on the vulva/vagina can cause pain, numbness, skin injury, or circulation problems. If swelling after surgery is rapidly increasing, one-sided, painful, red, draining, or associated with fever, contact your surgical team promptly.

Agustina Hilario Duran, MD · Answer

Hi! thanks for your question. Fluid accumulation around the vagina or mons pubis after a BBL can occur due to swelling or post-surgical fluid retention. While this is common, it generally resolves on its own. However, if fluid isn't properly managed, there is a slight risk of fibrosis (thickening or hardening of tissue), which can lead to uneven contours or lumps.
To reduce fluid buildup and help prevent fibrosis, compression garments are crucial. While standard compression garments focus on the abdomen and buttocks, specialized fajas or foam inserts can help compress the mons pubis and vaginal area without applying too much pressure to the buttocks. Your surgeon can guide you on using compression effectively in these areas.
Be sure to follow up with your surgeon for specific aftercare instructions and to monitor any fluid retention during recovery.

Mats Hagstrom, MD (license on probation) · Answer

Swelling is just swelling.
It’s usually caused by inflammation of tissues, trying to heal.
It’s normal for swelling to migrate due to gravity.
Swelling has nothing to do with the development of scar tissue.
The condition often called fibrosis is usually a result of removing too much fat, leaving the patient with substantial amounts of scar tissue and insufficient layers of subcutaneous fat to buffer that scar tissue.This is unrelated to swelling.
Swelling has no impact on long-term outcomes and will take care of itself.
Results of this procedure are based on patient candidacy and provider selection. these are the only two variables that really matter.
Best,
Mats Hagstrom MD

When fluid settles around the vagina/mons pubis, is it likely to develop fibrosis? How can these areas be compressed?

Answers (3)

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