I am 1 week post-op from upper arm Liposuction. Up until today, my arms have been soft like jello and felt bruised. Today, I was rubbing my arms and it feels all lumpy under the skin. Whats going on? It still hurts to touch, but what are those lumps? Are these normal, or there's something wrong? Should I call my plastic surgeon?
What Are These Hard Lumps Post-Liposuction?
Doctor Answers 25
Massage will correct lumps after liposuction.
Most likely you are feeling small collections of fluid after liposuction which respond to lynphatic drainage massage. Start this as soon as possible. Of course see your surgeon.
Lumps after lipo
There are several possibilities at the one week point after upper arm liposuction. The first possibility is those lumps and bumps are hematomas (collections of bleeding) that are new or that weren't detectable initially secondary to swelling. The other possibility is small areas of fat "necrosis" (or dead fat). If these areas are small they should resolve with time. Sometimes massage is thought to help. As always - whenever you have an unexpected turn in your post-op recovery you should absolutely speak with your plastic surgeon. I hope this helps.
Steven Williams, MD
Irregular contour is normal for a few months after liposuction
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Hard lumps post-liposuction
Lumps After Lipo
Lumps Following Lipo may be from Swelling, Fat Necrosis, Seromas, and Hematomas
It’s not uncommon for patient’s to have lumps and bumps following liposuction. Contour irregularities may have a variety of potential causes. These may include differential swelling, fat necrosis, seromas and hematomas. They are usually transient and respond to conservative management with compression garments and massage. Rarely, aspiration is necessary when hematomas and seromas are present. In most cases, these problems have no effect on the long term results of liposuction.
It most likely are just normal fluid collections which will resolve with time and massage.
Lumps and bumps are usually normal fluid collections after liposuction. They tend to last about 4-6 weeks. The initial swelling after the procedure conseals these pockets of fluid but as you massage and exercise then the generalized swelling fluid resolves and these individual pockets become more apparent until you massage them away also. Endermologie is a great way to help them resolve faster. I have my patients spend 5 minutes in the morning and 5 minutes in the evening massaging the areas. I start them exercising and massaging after 1 week. This helps the swelling go down faster but it still takes at least 4-6 months to get to the end result. Don't worry. It sounds totally normal but always see your surgeon to help reassure you that that is all that is going on.
David Hansen, MD
All is well.
After liposuction, swelling can be uneven. This uneven presentation can be the concern of many patients. However, over time the swelling resolves and the bumpiness goes away.
Return to your doctor and inquire about massage or lymphatic massage as a way to minimize the swelling.