Smartlipo - 8 Weeks Post and Little Change?

Before: Healthy weight/shape before (5'8"/140#/size 6) Procedure: Abs/flanks/inner thighs Smartlipo, cost (with discount) $10,500 Complication: Seromas, drained several times Current (8 weeks): Def some change, clothes a *little* bit looser, but scale higher I've read to expect 80-90% results at 8 weeks, others that say not to judge until 6mo. 3 separate surgeries, $10k+ spent. No clothes size change. Could really use some words of hope?

Doctor Answers 8

Too Early To Judge

Thanks for your post, and I'm sorry you are feeling frustrated. Not to worry. I really see a lot of improvements between week 8 and 12 in my patients w/ Smartlipo. Even beyond that, perhaps up to 9 months total, patients will report improvements. Give it more time. Best wishes.

Leawood Plastic Surgeon
5.0 out of 5 stars 7 reviews


Thank you for your question, Lflo2013. You are in the initial stages of your recovery process because SmartLipo takes 6-12 months for recovery. For that reason, SculpSure is a very attractive alternative because it melts up to 25% of your unwanted subcutaneous fat in up to 25-minutes of an in-office treatment. The results take only 6 weeks to manifest and the recovery process is comfortable. Please consult with a board certified facial plastic surgeon.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 116 reviews

Smartlipo - 8 Weeks Post and Little Change

Thank you for submitting your question. Swelling after liposuction will last for many weeks after surgery. Final results take 6-12 months. The seroma that was drained servral times will prolong the final result.   Continue to use your contour garment, massage the hard areas, external ultrasound and lymphatic massage will help to decrease swelling faster. Discuss your concerns with your Plastic surgeon

Jeff Angobaldo, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 104 reviews

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Little change 8 weeks after lipo

  • expect to see change at three months after uncomplicated liposuction
  • complications like seromas increase the time to maximun improvement
  • restart your three month clock when the complication no longer need attention

David J. Goodkind, MD
New Haven Plastic Surgeon
3.5 out of 5 stars 14 reviews

A few issues

As previously stated, it's still relatively early. That said, when liposuction goes well, patients should see improvements by three weeks.

Some patients are excellent candidates for liposuction and should expect to see great results. Others simply aren't great candidates. For someone who is not a great candidate, it is important for the surgeon to, first of all, realize this and, secondly, be brutally honest with the patient before the procedure.

I'm not sure why it required three procedures unless your surgeon maxed out on the amount of fat that can be safely removed in a single session or if you are referring to draining the seromas as a separate procedure.

Unfortunately, cosmetic surgery is expensive regardless of the outcome. I make a point of not discussing weight changes other than to say that one should not expect a change unless I can deliver. Setting realistic expectations is an important part of my job. The number one concern after liposuction is the lack of results. Liposuction, when done correctly on the right people, should give consistently good results.  

I don't mean to be a pessimist here. In general, the patients who are going to be happy with their results are happy at eight weeks, and it just gets better from there.

You should expect some further improvement with time, but at three months, it's close to "what you see is what you get".

One a last thought. Some of the best outcomes from liposuction come from patients who did some weight loss and picked up their exercise routine after the procedure. I call it, "I do my part and you do your part."

I hope with time you will feel your procedure was helpful.

Best of luck,

Mats Hagstrom, M.D.

Mats Hagstrom, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 18 reviews

Smartlipo results

Despite claims to the contrary, Smartlipo can take longer to fully heal and for swelling to resolve than other types of liposuction.  Hang in there, wear your compression garments and keep your doctor involved with all of your concerns. Two months is still early and I would wait another 2 or 3 months before final results are in. 

Francisco Canales, MD
Santa Rosa Plastic Surgeon
5.0 out of 5 stars 35 reviews

It is too early for you to judge your smartlipo session

some patients will show a change in 2 weeks but many can take 2 months just to start to see any change. some may take longer. i tell my patients that you will not reach your maximum improvement for  6 months or longer. it is much too early for you to asses your results.


david berman md

plastic surgeon, northern va

David E. Berman, MD
Sterling Plastic Surgeon
5.0 out of 5 stars 108 reviews

Smartlipo healing

Smartlipo takes time to heal, please be patient. This is normal; even though you may not feel swollen you are still swollen under the skin. Follow up with your surgeon to make sure you are healing correctly.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 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.