8 weeks post op arm lift and lipo, arms feel tight and still in pain Is this normal (photo)?

Thank you for your question regarding pain and tightness following your arm lift and liposuction procedure. Based on your provided history and photo, it’s not uncommon to experience tightness and some degree of discomfort at 8 weeks post-op. These sensations are often due to the healing process, including residual swelling, scar tissue formation, and skin or tissue adjusting to its new contours.

Tightness is particularly common in procedures that involve skin excision, as the skin and underlying tissue are repositioned and may feel stretched. Pain that persists beyond the typical healing period may be caused by:

Residual Swelling: Swelling can take weeks or months to resolve fully, especially in areas like the arms where lymphatic drainage is slower.

Scar Tissue Formation: As incisions heal, scar tissue can form beneath the skin, sometimes leading to tight or uncomfortable sensations. This is usually temporary but may require physical therapy, massage, or other interventions to alleviate discomfort.

Nerve Sensitivity: Nerves can be irritated or regenerating during the healing process, causing discomfort or heightened sensitivity.

While some discomfort and tightness are normal, persistent or worsening pain warrants evaluation. If the pain feels sharp, is accompanied by redness, warmth, or an unusual discharge, it could indicate an infection or other complication, and you should contact your plastic surgeon immediately.

To manage tightness and discomfort at this stage:

Lymphatic Drainage Massage: Gentle massage can help reduce swelling and promote healing.
Compression Garments: Continue wearing your compression garments as directed by your surgeon, as these help minimize swelling and support your arms.
Pain Management: Over-the-counter pain relief, such as acetaminophen, can help manage lingering discomfort.
Range-of-Motion Exercises: Consult your surgeon to see if gentle arm stretches or exercises can help improve flexibility and alleviate tightness.
If your symptoms persist or worsen, it’s crucial to follow up with your plastic surgeon to rule out any complications and to discuss additional options for relief.

Sincerely,
Dr. Katzen

It is difficult to tell from this picture I recommend you follow up in person with your PS for a proper exam and evaluation.

Thank you for the question,
It's not unusual to have these symptoms at this stage post-operatively, especially if they're present on both sides. It's part of normal healing and recovery.  The scar does appear somewhat hypertrophic and potentially is the cause of pain.  I would recommend a visit with your PS to discuss scar care, your symptoms and potential solutions.  Best of luck.