Treatment methods for post liposuction sequelae

The sequelae of liposuction can be treated through pressure bandaging, medication therapy, physical therapy, puncture aspiration, surgical repair, and other methods. The sequelae of liposuction are usually caused by subcutaneous hematoma, uneven skin, fat embolism, infection, nerve damage, and other reasons.

1. Pressure bandaging

Subcutaneous hematoma is a common complication after liposuction, which may be related to intraoperative vascular injury or insufficient pressure after surgery. Early symptoms include local swelling, bruising, and a wave like sensation upon palpation. Continuous compression and bandaging with elastic bandages can promote hematoma absorption, combined with cold compress to reduce exudation. If the hematoma continues to enlarge or is accompanied by fever, seek medical attention promptly to rule out active bleeding.

2. Drug therapy

Infections are often caused by improper aseptic procedures during surgery or improper postoperative care. Common symptoms include redness, swelling, heat pain, and purulent discharge. Antibiotics such as cefixime capsules and levofloxacin tablets can be used according to medical advice to control infections, and combined with local application of mupirocin ointment. For severe symptoms such as breathing difficulties and consciousness disorders caused by fat embolism, immediate intravenous injection of dexamethasone sodium phosphate injection is required for rescue.

3. Physical therapy

Skin unevenness may be related to uneven fat suction or poor skin retraction, manifested as an orange peel like appearance. Physical therapy such as radiofrequency tightening and ultrasonic knife can be used to stimulate collagen remodeling and improve skin smoothness. For mild lymphedema, a pneumatic circulation therapy device can be used to promote lymphatic reflux, with a daily treatment duration of 20-30 minutes.

4. Puncture aspiration

Serum swelling is a encapsulated fluid accumulation of tissue fluid under the skin, which is cystic upon palpation. Puncture aspiration can be performed under ultrasound guidance, and hardening agent can be injected after aspiration to prevent recurrence. After suction, it is necessary to continue applying pressure and bandaging for 1-2 weeks to avoid excessive exercise that may cause further fluid accumulation. If the aspirated liquid appears turbid and purulent, bacterial culture should be sent to identify the pathogen.

5. Surgical repair

Severe skin necrosis or extensive fat embolism require surgical intervention. For full-thickness skin necrosis, skin flap transplantation should be used to repair the wound after debridement; Multiple organ dysfunction caused by fat embolism may require extracorporeal membrane oxygenation support. Persistent numbness or movement disorders caused by nerve injury can be restored through nerve relaxation or transplantation.

After surgery, it is necessary to wear shapewear for 3-6 months to help the skin fit and avoid direct sunlight on the surgical area to prevent pigmentation. Diet should ensure high-quality protein intake to promote tissue repair and limit high salt foods to prevent edema. During the recovery period, vigorous exercise or prolonged standing is prohibited, and regular follow-up ultrasound evaluations should be conducted to assess the recovery status. If symptoms such as persistent fever, severe pain, or difficulty breathing occur, one should immediately return to the hospital for diagnosis and treatment.