I can pinch even more fat after lipo than before. Is it possible that all the fat that was removed came back?

Hi, Bill8000.  If your plastic surgeon removed 1000cc of fat, you should see an improvement.  For some patients, they get very swollen after liposuction.  Swelling/edema after liposuction is expected.  It may take up to 3-6 months for all the swelling to come down.  One month is too short to see your liposuction outcome.  Please talk with your plastic surgeon and let him be aware of your concern.  He will be able to give you some guidance about compression garment and give your reassurance about post-operative swelling. Good luck.

It takes 3 to 4 months to see the final result, so at one month its still too early to make any final assessments or decisions. After lipo, the fat cells that are removed will never come back. However the fat cells that are left can get larger if you eat more, so its important to maintain a healthy diet. You also want to make sure you don't have a fluid collection (seroma) that is making you look larger. If you do have one, you will want to have it drained immediately. Best of luck.Paul Wigoda, MDdrwigoda.com