Dr. David Amron has devised a specific postoperative care plan for each patient who undergoes surgery at his practice. Directly after the operation, patients are drained on the table to remove excess fluid and are placed in custom-made compression garments. Patients are advised to wear the compression garments 24 hours a day for two weeks after their surgery, followed by an additional two weeks wearing the garments, but for 12 hours a day.
Directly following surgery, patients will be up and walking within 15-30 minutes, and will leave the surgical center in the care of a family member or nurse. Patients are instructed to take it easy on the day of surgery, and are encouraged to resume a normal diet, and drink one glass of water every hour on the day of their surgery.
The following day, Dr. Amron recommends patients take a 1-2 mile walk to help drain out any fluid remaining in the muscles. This also helps mobilize fluid from the tissues.
Manual Lymphatic Dranage (MLD) Therapy
The next step in the recovery process is to schedule Manual Lymphatic Drainage (MLD) therapy for the patient once or twice a week, with possible additional bandaging. MLD is a specialized type of massage which helps to reduce swelling for lipedema patients.
Pain During and After Surgeries
Lipedema patients experience a significant amount of discomfort, pain and numbness prior to surgery, and are relieved to hear liposuction greatly improves their pain, or eliminates it completely. A vast majority of testimonials from Dr. Amron’s patients state the pain they endured prior to surgery is almost completely gone the following day, or within a week after surgery.
During the liposuction procedure, Dr. Amron uses Water-Assisted Liposuction (WAL) to put the fluid into the fat to anesthetize it. His patients typically experience a slight discomfort and pinching feeling as the fluid is being placed into the fatty tissue. However, it’s a quick process to complete, so this period of discomfort only lasts for approximately 15-30 minutes.
During the extraction part of the surgery, most patients feel a slight pressure, but do not have any significant pain. After surgery, patients are given prescription pain medications. However, in Dr. Amron’s experience, only 10-15 percent of patients have needed to take them on the evening of their surgery.
Many of Dr. Amron’s lipedema patients experience little to no pain the day after surgery. However, the degree of discomfort in subsequent days is entirely dependent on the amount of bruising and swelling after surgery.
Patients tend to experience swelling after the surgery because many times it’s the lower part of the legs, like the calves and ankle areas, where swelling generally takes longer to subside.
Lipedema Liposuction Results
For liposuction in general, the recovery time is about a year to see the final results, and this is also true for lipedema patients, in particular. Patients will immediacy start to see results after surgery, and a reduction of fullness in their bodies due to the amount of fat removed during surgery.
As the body continues to heal, patients will experience a remodeling and restructuring of body tissue, as it develops new connective tissue to tighten up areas of looseness. This remodeling process takes a significant amount of time to heal, and many patients won’t see final results until approximately 12 months after surgery.
A majority of patients start to see a significant improvement within the two to four weeks of surgery, but results vary from person to person. At the three-month mark, most patients see between 50-70 percent of final improvements. At the six-month mark, this normally increases to about 80-90 percent.