Hard Lumps Normal After Tumescent Liposuction?

I had a Tumescent liposuction 21 days ago for my stomach and love handles. On day 16, I developed some hard lumps right where my pants rest. I have noticed a lot of swelling and it looks like I never had the procedure. Is this normal?

Doctor Answers 12

Problems after liposuction - normal healing

Firmness and lumpiness are very common after liposuction of any type. If you are having skin irregularities it is possible that these were pre-existing.  It is the soft tissues normal response to trauma.  More than likely the swelling is better in the morning when you first wake up and gets worse throughout the day as you go about your normal activities.  Light massage is beneficial but in general it just takes time for this to resolve.  Look for it to remain about the same for the next three weeks and then begin to get better between the 6 th week and the end of the 3rd month.  Continue to wear your compression garment as instructed.

Atlanta Plastic Surgeon
4.5 out of 5 stars 14 reviews

Uneven results after liposuction

Liposuction is a very powerful and effective technique to recontour the body. After the procedure, patients should expect to see some swelling and minimal drainage from their small liposuction incisions. This drainage is some of the fluid that was added before your surgery that help the surgeon removed the fat safely and effectively. For the first several weeks after liposuction, your body may still have some of this fluid on board and will also have initiated the swelling process. The best thing to do is to try to elevate the area the body that received the lack suction as much as possible, where a compressive garment at all times, and try to limit your salt intake in your diet.

Pat Pazmino, MD
Miami Plastic Surgeon
4.5 out of 5 stars 77 reviews

Hard Lumps Normal After Tumescent Liposuction

Thank you for you for your question. You are very early in your recovery from your liposuction surgery. Waviness and irregular areas are normal in the first few weeks after surgery. Hards areas will improve over time. Massage, extrernal ultrasound and using your garment will help with the swelling and lumps.  Final results take 6-12 months. Discuss your concerns with your Plastic Surgeon

Lumps three weeks after Tumescent Lipo

On areas like the abdomen, one should expect lumps or knots three weeks after liposuction. You can take ibuprofen, aleve or even aspirin if they are tender. Otherwise, don't worry. They should go away after a few weeks.

T. Wayne Day, MD
Nashville Dermatologic Surgeon
5.0 out of 5 stars 1 review

Lumps After Liposuction

It is not unusual to note firm areas after liposuction. Swelling is rarely uniform and therefore some areas may appear firmer and fuller than others. Occasionally a 'lump' of firm fat can appear due to excess swelling of this small amount of fat. This is slightly more common at sites where there is additional pressure from garments, clothing, etc... The good news is that not only is this a normal part of the healing process, it almost always resolves spontaneously.

Louis DeLuca, MD
Palm Beach Plastic Surgeon
5.0 out of 5 stars 43 reviews

Sounds normal

Most of the swelling will be gone in 2-3 weeks, but some firmness can last for a couple of months. You can assess your results at about the three or four month mark. You can try massaging the area with your surgeon's advice.

Lumps & Bumps Following Liposuction

It’s not unusual for patients to experience lumps and bumps following tumescent liposuction for a variety of reasons.  During this procedure the liposuction cannula is passed through the subcutaneous tissue creating a series of tunnels.  Following surgery patients wear compression garments to collapse these tunnels and remodel the soft tissue.  Unfortunately, blood may accumulate along these tracts.  When this occurs and these clots solidify, they form lumps, bumps and areas of uneven of unevenness in the subcutaneous tissue.

                  Gentle massage of these areas usually results in resolution of the problem.  If you have concerns about hard lumps following tumescent liposuction make sure you discuss them with your plastic surgeon.  Your surgeon should be able to formulate a treatment plan for this problem.

Swelling and some hard lumps are both normal this early into recovery.

Swelling is part of the body’s natural healing response, and is very normal after most surgeries, including lipo. Continue wearing your compression garment as your surgeon recommended and keep drinking plenty of fluids and stay mildly active. As for the hard lumps, these are likely tiny pockets of fat that were not removed during lipo but were injured in the process. It takes time for the body to resolve these, but they should not be a concern unless they become painful or are still present after a few months.

Tumescent Lipo

Swelling is common, and the pants frequently act like a tourniquet and inhibit the fluids ability to reabsorb or flow with gravity.  This should subside and the compression garment should help as well.

Vivek Bansal, MD
Danville Plastic Surgeon
5.0 out of 5 stars 18 reviews

Swelling after liposuction.

Swelling is common after liposuction and it may take 2-3 months to resolve. You may wish to mention it to you surgeon and may want to continue to wear a mild compression garment.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
5.0 out of 5 stars 42 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.