Is Swelling Normal After Lipoma Surgery? Insights on Recovery - Plastic Surgery

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Liposarcoma surgery?


I went to the hospital on July 18 (Saturday) to have a lipoma on my forehead, which was over 1 cm (the sutured area is 1.5 cm), removed.
It has been about four to five days post-surgery, and the swelling around the wound has not significantly subsided (compared to other areas of swelling that are gradually decreasing).
The appearance of the wound does not show any obvious signs of inflammation or pus.
The hospital is scheduled for a follow-up appointment on July 24 (Friday) to remove the stitches, so I would like to ask if this is considered normal?

Zhong, 30~39 year old female. Ask Date: 2009/07/22

Dr. Zhou Hongzhang reply Plastic Surgery


To determine whether it is normal or not, it may be necessary to examine the condition of the wound in order to make an accurate assessment (after visual inspection).
Typically, a wound is expected to be most swollen on the third day, after which the swelling should gradually subside.
If an infection occurs, there will be signs of redness, swelling, heat, and pain around the wound.

Reply Date: 2009/07/22

More Info


Swelling after lipoma surgery is a common occurrence and can be considered a normal part of the healing process. When you undergo any surgical procedure, including the excision of a lipoma, your body initiates an inflammatory response as part of the healing process. This response can lead to swelling, redness, and tenderness around the surgical site.
In your case, having undergone surgery on July 18, it is not unusual for swelling to persist for several days post-operation. Typically, swelling can peak within the first few days after surgery and then gradually decrease. The fact that you mentioned the wound does not show signs of infection, such as increased redness, warmth, or pus, is a positive sign. It indicates that your body is likely responding well to the surgery and that the swelling is part of the normal healing process.

The duration of swelling can vary from person to person, depending on several factors, including the extent of the surgery, your individual healing response, and any underlying health conditions. In most cases, swelling should start to diminish within one to two weeks after surgery. However, some residual swelling may persist for a longer period, especially if the lipoma was large or if there was significant manipulation of the surrounding tissues during the procedure.

It's also important to consider that the area around the surgical site may feel firm or hard to the touch, which is often due to the formation of scar tissue. This is a normal part of the healing process, and while it may feel concerning, it typically resolves over time as the body continues to heal.
If you experience any unusual symptoms, such as increased pain, fever, or any discharge from the wound, it is crucial to contact your healthcare provider for further evaluation. They can assess whether the swelling is within the normal range or if there are any complications that need to be addressed.

Regarding your upcoming follow-up appointment on July 24 for suture removal, this is an excellent opportunity to discuss your concerns with your surgeon. They can provide a thorough examination of the surgical site and give you personalized advice based on your specific situation.
In summary, mild to moderate swelling after lipoma surgery is generally normal and should gradually improve over time. However, always keep an eye on your symptoms and communicate with your healthcare provider if you have any concerns. Your recovery is unique, and your healthcare team is there to support you through the process.

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