Our experience in postop care has improved tremendously in the last few years. I suppose with the vast number of patients we are treating (I'm treating on average 9-12 patients a week) we come across all types of torsos and body types. This helps us understand many different types of healing and recovery times.
As all patients are different in terms of how rapidly they heal and can return to normal activity, we can give most patients an accurate idea of what to expect.
Our instructions on postop garment wearing has not changed much. Furthermore, the MLD routine has also not changed much. I think the awareness of MLD in the post lipo patient aftercare has become much more commonplace, although I still get the odd patient that comes to see me for advice after being treated elsewhere. This is usually in connection with what to do about lumpiness.
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| Abdo insert |
I have also started using foam inserts or vests which create a more even spread of pressure and compression. These pieces of foam are inserted between the garment and the skin (available from
Macom-medical). They fill the negative spaces which are often not filled be the compression garment. Also, they tend to force upright posture which will prevent skin creasing which is an occasional concern in patients that have fluctuated in weight and have some skin laxity. See abdominal insert (top) and flank insert (lower). For any form of definition I create it is vital to use the full abdo insert vest which contours the negative and positive spaces.
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| Flank insert |
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