Fast facts

Liposuction


What it is: Liposuction or lipoplasty is a surgical procedure to address excess fat deposits in specific areas of the body.  Liposuction is not intended to be a weight loss solution.


What it addresses:  Fat deposits in body areas including:

- Stomach
- Buttocks, Hips & Thighs
- Love Handles
- Saddle Bags
- Calves & Ankles
- Breasts
- Back


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Question

Is pain after liposuction normal?

I had liposuction 6 days ago on my tummy and hips. Just aout two inches above the right and left incisions at my bikini line for the tummy lipo, I have a sharp pain when I move, like a knife going into the exact place on each side (it is especially bad on the right). I would say it is severe pain, and I have a high tolerance. I am afraid that it is serious, and the doctor won´t diagnose it properly when I go to have the stiches out on the 7th day since surgery (perhaps because I won´t be able to explain well what is the pain). Is this sharp pain indicative or something serious?

Also, My right hip is higher and fatter than my left. I am clearly lopsidded. If my doctor tells me not to worry, that it will be symetrical in time, is that true? Will my hips even out in time?

My legs are very big, swollen (I understand this happens), but they wabble like jello. They are so ugly. I am so afraid that I will not look good without clothes on (and even with, since the hip lopsiddedness is so obvious). I was in such good shape, having been running for 20 years, until 2 years ago when a move and new job kept me from being able to run and exercise more than light walking. I am so afraid that I have made a mistake.

I am afraid I will look much worse than I did. And I am afraid that the knife pain is serious. Do I believe what my doctor will tell me? Any idea of what this sharp pain is? Normal or severe pain?


Asked by: ksusanb
San Francisco, CA

Answers (5)

Sort by: Most recent | Most helpful
1
October 28, 2008

Listen to your doctor please

Richard P. Rand, MD
Richard P. Rand, MD
Board Certified
Plastic Surgeon

Hopefully, you chose a good doctor. If you trusted them to operate on you, and they know you best, you should also trust their answers to your questions. You have been given many good answers here but really nobody can better help you than the doctor who operated on you.

It is normal in the first 2 weeks after surgery to have questions about your results and these should be answered directly and completely by your doctor. Be calm and patient and realize that it takes 4-6 months for your tissues to heal and your skin to shrink after liposuction.

2
October 27, 2008

Yes and it's way too early to judge your liposuction results

Vishal  Kapoor, MD
Vishal  Kapoor, MD
Board Certified
Plastic Surgeon

While pain is very subjective and everyone has a different threshold, pain is very normal after liposuction. As far as it being sharp, the abdominal and waist/hip area is particularly sensitive for a lot of patients.

In general pain should continue to get better day by day, but if it seems to be getting worse or not improving, definitely let your surgeon know. Although it's rare, you just want to make sure there is no infection - things you want to look for are persistent redness or any drainage from the wound.

As far as your right side being bigger than your left, it's most likely just swelling (assuming you were even before and the same amount of tissue was removed from both sides). Just be patient, and see what happesns.

3
October 26, 2008

You just had surgery, so you will have to be patient to see the final results

First of all, you state that you just had liposuction 6 days ago and you are concerned about several issues. You also have another question just submitted stating that you had blepharoplasty 5 weeks ago and you are concerned about the incisions not healing properly. (Please see my response to the blepharoplasty question). It is good that you are seeking answers to your questions, but many of these issues you need to discuss with your doctor, especially if you are going in for multiple procedures at different times and still have unresolved issues with the surgery.

To specifically address your present concerns...

"I have a sharp pain when I move, like a knife going into the exact place on each side"

You are fresh out of surgery and your body is trying to heal from your procedure. Occasionally, underlying sensory nerves can be irritated and cause temporary discomfort. You also had small incision to perform the liposuction and, occasionally, you may feel discomfort at these sites (almost like a paper cut) until they heal. However, you need to discuss these issues with your doctor and have them examine you to make sure nothing more serious is happening.

"My right hip is higher and fatter than my left. I am clearly lopsidded."

After liposuction, you may become swollen. Depending on how you lay in bed or how you put on your post-operative garments, your swelling may be asymmetrical. The swelling will take several weeks to months to completely resolve. Additionally, many people have asymmetric body structure. When you are heavier, the fat camouflages the underlying asymmetries. However, after the fat is removed, your asymmetry may be more apparent. These are issues that you need to discuss with your surgeon before surgery.

My legs are very big, swollen (I understand this happens), but they wabble like jello."

When you deflate your legs with liposuction, the skin needs to contract or tighten. There is an important balance required when performing leg liposuction to avoid loose skin. This is also an issue that you need to discuss with your surgeon prior to surgery.

"I am afraid I will look much worse than I did."

Hopefully, you have a good relationship with your surgeon. It sounds like you have many issues to discuss. I suggest writing down your questions and bring them with you so that you make sure all of your issues are addressed during your visit. As with every surgery, you have to go through a healing phase. Some people recover faster than others. Good Luck.

4
October 26, 2008

Why would you have surgery from someone you do not trust?

Evan Sorokin, MD
Evan Sorokin, MD
Board Certified
Plastic Surgeon

Your question says things like : "I am afraid that it is serious, and the doctor won´t diagnose it properly" and " If my doctor tells me not to worry, that it will be symetrical in time, is that true?" and "Do I believe what my doctor will tell me?"

Why would you have surgery from anyone you do not 100% trust? Did you check references beforehand? Is the doctor certified?

There is no way for other doctors on a website to tell you how your results will be when you are nervous six days postop. You need to go see your doctor and get examined. If you are not being seen for several days, call and speak to him/her on the phone.

Your question highlights a major problem with cosmetic surgery these days. Patients need to carefully pick their surgeons so that they will be able to trust what they say during a recovery. There are too many doctors out there doing procedures which they were not formally trained to do. This is not the case with board certified plastic surgeons.

Patients need to do their homework before surgery, not after.

5
October 26, 2008

Be patient

Robin T.W. Yuan, MD
Robin T.W. Yuan, MD
Board Certified
Plastic Surgeon

Pain is expected after liposuction especially in the abdomen where the abdominal muscles can get quite irritated from the mechanical trauma of the act of suctioning. There are a few superficial sensory nerves that can be injured or at least irritated depending on where exactly the incisions are. Usually the pain is electrical or burning in quality.

As far as asymmetry, it depends on what exactly was done. In general, if you did the liposuction after gaining weight, (you said you were in good condition and then didn't exercise), there is more margin of error since the total volume of fat is more. As you gainweight, the contour besomes less well defined in terms of problem areas as everything tends to blend together. Of course there is not much you can do at this point except be patient and continue to ask your doctor questions of concern

Good luck.

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