I am now 4 days post-Smart Lipo. Why is the itching so bad? Is it something internal or just the garments?
Terrible Itching After Smart Lipo
Doctor Answers 6
Itching after Lipo
There can be several factors that attribute to itching after a procedure. I always tell patients that a "crawling" feeling, itching and numbness are normal for several weeks after surgery.
There is also the possibility that you are having a mild allergic reaction to one of the medications. Make sure you let your surgeon know and see what they recommend.
Itching and Liposuction
Itching post-liposuction can be due to several factors. It can be due to the garment that can irritate the skin. It can be due to the actual procedure in which the sensory nerve fibers are traumatized. During the healing process, the nerves "awaken" and can give the patient and itchy feeling. In addition, it can be irritation at the incision sites as well. Usually the itching gets better within a few days to weeks. You should definitely ask your doctor about this. Sometimes, anti-histamines like Benadryl or Claritin can help.
SmartLipo & itching
This is one of the most common side effects after any type of lipo. We warn clients that it may be experienced, although it is usually mild and self-limited.
The first approach is a topical cream with Benadryl, or maybe even Hydrocortisone twice a day. A cool compress often helps and most client find this to be enough.
Anything worse than that should prompt you to follow up with your surgeon as soon as possible to avoid the possibility of anything worse.
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By far the most common cause of itching after Smartlipo is the disruption of nerves during the procedure. This will resolve within a few days or weeks. Irritation from the compression garment is also not uncommon. Less common is allergy to pain meds or antibiotics taken after surgery. These last two causes can be remedied by your doctor. The nerve disruption will heal on its own quickly.
Itching is common to liposuction procedures
Itching is common to liposuction procedures. The cannulas will cause trauma to the nerve fibers as the they pass back and forth.
Studies have shown Smartlipo and all the other laser liposuction techniques to be more traumatic to the surrounding tissue than conventional liposuction or ultrasonic liposuction. But no matter, the itching will typically go away in anywhere from one week to six months.
Robert M. Freund, MD, FACS