Severe Noticable Bumpiness on Thighs 3 Weeks Post-op

I had Liposculpture done 3 weeks ago today,I had inner+outer thigh as well as the knees. I can see a 40% improvement already however I am very concerned as on both my outer thighs I have two very big protruding bumps the size of a $5 note.I know my surgeon did a lot of work in those areas as that is where I carried the majority of fat.However these bumps are very noticable and I have had lymph drainage massage and have now started deep tissue massage almost everyday,is this normal? does it go?

Doctor Answers 8

Severe Noticable Bumpiness on Thighs 3 Weeks Post-op

-- Hello dear, thanks for your question and provided information as well.. This is the surgical procedure that revolutionized cosmetic surgery becoming one of the most performed cosmetic procedures. Subcutaneous tissue or fat is removed in order to contour the body in a way that is harmonious and pleasing to the senses. It can be performed in almost all regions of the body such as the neck, chin, abdomen, back, buttocks, thighs, arms and ankles. Usually done through a small incision in the skin through which a cannula connected to a vacuum is applied, it can be performed alone or in combination with other procedures. After liposuction your body is going to be really swollen for at least 2 to 4 months after your surgery. It is important for you to wear your compression garment for at least 6 months, the first 3 months 24/7 and then the last 3 months at least 12 hours per day for your body get use to not having the faja for so many time. When you remove it, your body can get swollen and also you can have pain. Remember to also compress your body to prevent a seroma which is an accumulation of liquid that has to be drained, it is hard to touch and also really painful. Bruises are completely normal for almost 3 months from surgery, that’s why is better for you to use a bruising cream and apply it all over your body 3 times a day. To prevent bad circulation and swollen legs, use compression socks. Brazilian butt lift can be performed with the same procedure and for a month it will be swollen and it will drop a little bit without losing it’s shape if you use your garment.. If you’re going to perform liposuction on your inner, outer, anterior, lateral, postetior thighs, be careful and consult with your surgeon what’s best for you, sometimes we have more extra skin than fat, that can cause severe sagginess on our legs, which can be only be reversed performing a thigh lift!

Dominican Republic Plastic Surgeon
4.5 out of 5 stars 396 reviews

Lumps and Bumps after Liposculpture or Liposuction

Swelling and areas of firmness ( i.e. areas of "lumps and bumps") are common in the first several weeks after liposculpture and liposuction
First of all, you are still in the immediate postoperative period (first 6 wks) and are expected to be swollen with areas of firmness. This is not your final result so be comforted by this message and relax a bit. Massage can help manage firm lumps and bumps following liposuction or liposculpture.
Therapeutic or "lymphatic massage" may be helpful following  a  Liposculpture or Liposuction (Smart Lipo, Vaser, Tickle lipo, or conventional lipo) to minimize swelling. Make sure your surgeon feels that you have healed sufficiently  and it is safe before doing this.  Endermologie is also very helpful after liposculpture/liposuction but again, not critical.  Although deep tissue massage following liposuction can aid in smoothing out  contour irregularities that invariably accompany this procedure it has limited effect on the final outcome and  is NOT mandatory. Some plastic surgeons recommend it to all  patients as they feel the edema resolves faster.  Ask your surgeon to show you or a significant other how to do this if cost is an issue. Typically they will have you massage toward areas of maximum lymphatic drainage ( for example groin or armpits) A low sodium diet may also be helpful early on.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Liposuction Recovery

You are only 3 weeks out of surgery so irregularity is common.  I recommend that you communicate with your surgeon so that he/she can keep an eye on your recovery. I recommend that my patients wear compression garments on the areas treated for at least 4 weeks post op and massage is very important.  Be patient and keep doing the massage.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,485 reviews

Lumps after liposuction may be due to inflammation

Lumps after liposuction may be due to inflammation. These will normally resolve. Those due to the surgery can be improved 3-6 months later.

Edward Lack, MD
Chicago Dermatologist
2.8 out of 5 stars 5 reviews

Lumps and bumps at 3 weeks post op

Continue to wear your compression garmet and massage the area. These lumps and bumps should subside within the next 3 weeks or so.

Jaime Perez, MD
Tampa Plastic Surgeon
4.8 out of 5 stars 75 reviews

Liposculpture versus liposuction.

First and formost please be aware that the word LIPOSCULPTURE  is a MARKETING term.   Liposculpture is LIPOSUCTION.   I guess you could say its liposuction carefully done but hopefully all liposuction is carefully done.   LIPOSUCTION and LIPOSCULPTURE are 100% exactly the same thing.    So lets just say you had plain old liposuction which is what you had.  Dont be confused by MARKETING terms.   You will better understand your self etc.  Lumpiness is 100% normal after LIPOSUCTION and usually gos considerably with time but not 100% always.  I tell patients that skin does amazingly well after LIPOSUCTION but never perfect.    Massage etc helps.  All massage is useful but at one year those who did and those who did not are 100% exactly the same.  Massage only speeds the reduction of swelling a little.   God Luck,    Dr Commons.

George Commons, MD
Palo Alto Plastic Surgeon
4.5 out of 5 stars 36 reviews

Lumpy bumpy liposuction 3 weeks later

AT 3 weeks it is quite common to experience swelling and lumps and bumps following liposuction. Generally this will persist for another 3 weeks and thereafter (at 6 weeks), it should begin to subside. Continue your massage treatments.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Severe Noticable Bumpiness on Thighs 3 Weeks Post-op

Options: See you surgeon ASAP. Lymphatic massages. Ultrasound therapy. Re operation in 3 months. But No photo can not advise specifically. From MIAMI Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.