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Fat removal - suctioning
After the surgery, bandages and compression garments are applied to keep pressure on the area and stop any bleeding, as well as to help maintain shape. Bandages are usually kept in place for at least 2 weeks. You will need the compression for several weeks. Your doctor may call you from time to time to check on your health and to monitor your healing. A visit back to the surgeon will be required. Sometimes people gain weight after liposuction. This is due to the increased fluid from surgery.
Liposuction may or may not require a hospital stay, depending on the location and extent of surgery. Liposuction can be done in an office-based facility, in a surgery center on an outpatient basis, or in a hospital. For reasons of cost and convenience, liposuction of smaller volumes is usually done as an outpatient. You may need to stay in a hospital if a larger volume of fat is being removed, or if you are having other procedures done at the same time.
Most informed patients are satisfied with the cosmetic result of their surgery. Informed patients understand that there are limits to what liposuction can accomplish.
The liposuctioned area may appear larger than before surgery because of swelling. You must wear a tight stocking, girdle, or snug elastic dressing over the treated area to reduce swelling and bleeding, and to help shrink the skin to fit the new contour. You should wear this garment for as long as your surgeon told you.
You will likely have swelling, bruising, numbness, and pain, but it can be managed with medications. The stitches will be removed in 5 to 10 days. Antibiotics may be prescribed to prevent infection.
You may feel sensations such as numbness or tingling, as well as pain, for weeks after the surgery. Walk as soon after surgery as possible to help prevent blood clots from forming in your legs. Avoid more strenuous exercise for about a month after the surgery.
You will start to feel better after about 1 or 2 weeks following liposuction surgery. You may return to work within a few days of the surgery. Bruising and swelling usually go away within three weeks; however, you may still have some swelling several months later.
Your doctor will check your progress through follow-up visits. If you have any questions or problems between office visits, call your doctor. Your new body shape will begin to emerge in the first couple of weeks; however, the improvement won't become more visible until about 4 to 6 weeks after surgery. By exercising regularly and eating a healthy diet, you can help maintain your new shape.
Burns JL, Blackwell SJ. Plastic sursgery. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008: chap 73.
Kucera IJ, Lambert TJ, Klein JA, et al. Liposuction: contemporary issues for the anesthesiologist. J Clin Anesth. 2006;18(5).
Pelosi MA, Pelosi MA. Liposuction. Obstetrics and gynecology clinics of North America. December 1, 2010; vol. 37: pp 507-519.
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