Is it normal for swelling to increase 5 days after lipo?

Hi there,
You have had significant amounts removed.  Therefore there will be large amounts for fluid shift resulting in some lightheadedness and also tissue swelling.
This should resolve in time esp with MLD massage.  If it does not improve day by day then you should see your Dr again to see all is ok.

Hello, Thank you for your question regarding swelling after VASER liposuction. It is important that you follow-up with your private plastic surgeon. Physical examination will be necessary to evaluate your post-operative swelling. However, in general, there is a significant amount of swelling after any type of liposuction, especially after VASER liposuction. The swelling is present for approximately 6 to 8 weeks after the VASER liposuction. To minimize the swelling, it is vital for you to wear your compression garments for 6 to 8 weeks after VASER liposuction. Also, to reduce the swelling, I suggest lymphatic massage. Radiofrequency can also help to minimize swelling. Regarding the lightheadedness and nausea, these are not normal and should be reported immediately to your plastic surgeon. Thank you for your questions regarding your postoperative condition after VASER liposuction. If you have any more questions regarding the post-operative course after VASER liposuction body lift or plastic surgery in general, please contact my office.Sincerely, Dr. Katzen. (Certified by the American Board of Plastic Surgery and member of the American Society Plastic Surgeons, International Society of Aesthetic Plastic Surgery, American Academy of Cosmetic Surgery, and Fellow of American College of Surgeons and American Board for Metabolic and Bariatric Surgery)

Hello,
Thank you for your question. The good news is that an increase in swelling is normal. While the lightheadeness is not surprising, given the “fluid shifts” that occur after 6 L of removal, it’s important you are able to hydrate. Symptoms of dehydration’s such as absent or decreased urination, rapid heart rate, and fainting need to be addressed by a health practitioner. It’s important to drink plenty of fluids.
Best wishes,
Dr. Moein

Hello. Thanks for the question. It sounds like you had a significant amount of fluid and fat removed during your surgery. It is not uncommon to get fluid shift. Consider drinking more fluids to purge out system and lymphatic massage. If persists, keep in contact with your physician.

Swelling is maximal at the one week which is where you are at. It will gradually improve by one month and then be nearly resolved by 3 months which is when we take your photos.

Hi and welcome to our forum!
Large volume liposuction may result in fluid imbalance or anemia. Either one can cause your symptoms. 
The operative procedure was an insult to your body, resulting in the inflammatory swelling of healing which initially will obscure the entire result. 60-80% of the swelling will resolve in 6 weeks, with the remainder slowly subsiding over 6-12 months.
If you are still lightheaded or nauseated, you should visit your plastic surgeon for evaluation as soon as feasible. 
I can't comment on the extent of your swelling without photographs.
Best wishes...