I understand that it is normal to get lumps after Vanquish. Is it normal for them to be hot to the touch, 6” and very painful?

It is not unusual for tender lumps to develop after Vanquish. The more hydrated you are, the more comfortable the procedure. I suggest drinking at least 8 glasses of water the day before and the day of the procedure. The lumps will become less tender and eventually disappear with massage and continued hydration. Good luck

Thank you for your question. I am sorry to hear that you are experiencing this. Your description is larger than most I have seen or heard of. It is not unusual for these to be quite painful. Hydration is important both for preventing these and helping their resolution. Acoustic wave therapy immediately following a Vanquish Me treatment often prevents their development. Lymphatic massage may help this to resolve more quickly. I would delay your next treatment until the pain is largely resolved.I hope this was helpful - Dr. Moore.