Weight Gain After Liposuction

After I had Liposuction surgery done a year ago, I feel I've been constantly gaining weight. I hardly have any bad eating habits, so I don't understand the weight gain after Liposuction. Why is this happening, and what can I do about it?

Doctor Answers 43

Liposuction has nothing to do with your weight. Liposuction deals with weight distribution.

If you are gaining weight, you are violating the equation of stable weight: metabolism (exercize) equals oral intake. If you are eating too much or slowing your metabolism, then weight will increase. A few tricks to losing weight.


  1. Cardiovascular exercize is good for your health but not best for weight loss.
  2. With little time in a busy day, always start by building muscle mass. Muscle burns more calories than other parts of your body and will burn them day and night.
  3. Best muscle groups to work on are the biggest - thighs and butt.


  1. Eat protein for breakfast.
  2. Eat every 3 and 1/2 hours. Small meals reduce the overall daily intake and reduces the urge to binge eat.
  3. Eat slowly. It takes 15 to 20 minutes for a full stomach to register in your brain. Thus many people on the go over-eat.
  4. Eat hot soup - it slows you down.
  5. Eat with other people and talk the most - it slows you down. Of course, let others talk, but focus on talking more then eating.
  6. Avoid eating anything white. That includes margarine and butter. Use olive oil for cooking and soaking the whole grain bread at the beginning of a meal.
  7. Diets that deprive you of food fail!

New York Plastic Surgeon
4.8 out of 5 stars 33 reviews

Weight vs. liposuction

Liposuction or liposculpture reduces fat in problem areas. At 2-3 months, stable patients get on the scale and see a few pounds missing. Yet some patients notice that they have actually gained weight.


Immediately after surgery, swelling replaces where fat was removed. This swelling, caused by leaky capillaries, consists primarily of water. Once the swelling recedes, and they become more physically active, patients typically notice that their weight improves. By nature, surgery causes soreness and patients are usually restricted from full workouts for a period of time after surgery. This explains the weight gains often noticed immediately after surgery.

For weight gain that continues past this point, the patient has gained fat in their body. Period. Some patients will gain a false sense of confidence after their liposuction procedure. Areas that they have monitored as their "alarm bell" are now much better. They relax and allow their good eating and exercise habits to lapse. By the time the usual alarm bell goes off again, they have gained ten pounds.

This underscores several points. We all typically gain weight over time and gain fat and lose muscle. This is normal human physiology. As time passes, the effort and will power to remain "fit" increases. Anybody who has been to a school reunion knows what happens to a classful of previously fit people.

Liposuction is not a weight loss tool. It is to aid in losing fat from problem areas. If anything, patients should plan on being more active and healthier about their eating habits after surgery than they were before. One week in the gym watching their weight and a patient can lose weight perfectly, with no irregularities, much better than I can sculpt in the operating room. Some of the worst results I have seen are from very wealthy people who think they can just suck out the fat and get many procedures done, each time developing a few more irregularities in the process.

This is not what people like to hear, I know. But the rewards for healthy and restrained eating and regular exercise are great.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 177 reviews

Liposuction is not a license to eat

This is something that I tell all of my liposuction patients. Patients tend to view it as such without even knowing it. Areas that were previously the most noticeable for them are much smaller after liposuction. This gives patients a sense that even though they are eating more they are not gaining weight because the liposuctioned previously more noticeable areas are the last to show the weight gain. Get to the gym and protect the investment that you have made in your body. Good luck!

Kenneth R. Francis, MD, FACS
Manhattan Plastic Surgeon
4.6 out of 5 stars 46 reviews

Weight gain after liposuction

There are only two reasons that weight gain occurs after liposuction.The most common reason is that you simply take in more calories than you burn up with normal daily activity and exercise. Most patients love the way they look after their liposuction and get complacent in their eating habits. 

You state that has not happened in your case. If so, the only other reason to gain weight is to gain muscle mass through diligent exercise training. In this case your clothes should fit you well, despite the weight gain. The differences in your body shape as a result of these two causes of weight gain is obvious. 

Many patients want to blame liposuction for their weight gain. I don't hear that in your question but it is a common misconception. They often think that there is some "factor" that makes it easier to gain weight after liposuction fat removal. This is simply not true. If you are gaining fat in other areas not suctioned after liposuction it simply has to be because you are taking in more calories than you are utilizing despite your perception of eating habits. 

Jay Burns, MD
Dallas Plastic Surgeon
4.6 out of 5 stars 46 reviews

Weight gain is unrelated to liposuction.

To iklugirl,

Liposuction is good for improving shape. Unwanted bulges are removed and contour is enhanced. And the improvement in SHAPE should very long lasting. That means the localized bulges should not come back.

But this does not affect your overall size and weight. Unfortunately, if you eat more calories than your body needs and if you don't exercise enough, then weight will accumulate. One thing is sure: the liposuction that you had is not causing your weight gain.

Hope this is helpful. Now you know what to do!

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Weight Gain After Liposuction

Liposuction re-contours the body by reducing the number of fat cells. This is permanent and your body will not compensate by creating more fat cells if you maintain your weight. If one does gain a significant amount of weight, however, the fat cells that do remain can enlarge and diminish the benefits. Overall contour, however, remains improved.
There is no evidence suggesting that liposuction causes weight gain. However, as we get older it does become more difficult to maintain lean muscle mass and keep the fat off.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Weight Gain after Liposuction

Liposuction re-contours the body by reducing the number of fat cells. The best way to judge the outcome after liposuction is by the change in your body contours and your clothing size, not by measuring your weight. Following liposuction patients are motivated to adopt healthy diets and exercise more frequently .

Weight gain is related to an imbalance between caloric intake and calories burned. If your eating more calories than your burning off; that could be why your gaining weight. Try keeping a food diary and have it evaluated by a nutritionist. Hormones, thyroid issues, and many other medical conditions can all affect metabolism and cause weight gain... and as always,keep your doctor informed as to what is going on.

Marvin F. Shienbaum, MD
Brandon Plastic Surgeon
4.9 out of 5 stars 20 reviews

Weight gain after liposuction

Results after liposuction can be durable if you maintain a disciplined lifestyle and dietary habits.  However if you eat enough for your body to store energy as fat, it will go wherever you are genetically preprogrammed to store it--usually the very areas you had treated with liposuction.  It's like cleaning out a messy storage closet with a lot of junk in it in your home--if you are disciplined and don't throw a bunch of junk back into your newly clean closet, it'll stay orderly and neat.  If not, it will soon be full of junk again and you will need to clean it out again someday!  

Jeffrey D. Wagner, MD
Indianapolis Plastic Surgeon
4.9 out of 5 stars 26 reviews

Weight gain after liposuction

Liposuction reduces excess fat in 'problem areas' by physically removing the fat cells in these areas.  Immediately after surgery, patients can expect some swelling which can take several months to resolve completely.  Many patients are mistaken in thinking that fat removal with liposuction will translate into a significant weight loss on the scale, often any weight loss is just a couple of pounds.  If you are over a year out from your liposuction procedure and consistently gaining weight,  I would recommend assessing your caloric intake versus the amount of exercise you do each day.  Liposuction does not cause weight gain.  

Stephen T. Greenberg, MD
Woodbury Plastic Surgeon
3.9 out of 5 stars 58 reviews

Weight gain after lipossuction

lipossuction result maintenance depend on body habits.

maintaining the same weight will help keeping the results.

fortunately, most of the people maintain or loose weight after lipossuction.

embracing healthy life style is mandatory after surgery.

to answer your question:

unexplained weight gaining after lipossuction can result from hormones change like hypothyroidism. 

ask your doctor for a check up

Jacques Haddad, MD
Montreal Plastic Surgeon
4.9 out of 5 stars 7 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.