compression garment Archives - Perea Clinic https://pereaclinic.com/tag/compression-garment/ For muscle injuries and effective relief ofrom muscle pain and chronic tenstion Thu, 13 Feb 2025 19:53:34 +0000 en-GB hourly 1 https://wordpress.org/?v=6.6.1 https://pereaclinic.com/wp-content/uploads/2023/12/cropped-Perea-Massage-32x32.png compression garment Archives - Perea Clinic https://pereaclinic.com/tag/compression-garment/ 32 32 Breaking Myths about Lymphoedema: what you really need to know https://pereaclinic.com/breaking-myths-about-lymphedema-what-you-really-need-to-know/ https://pereaclinic.com/breaking-myths-about-lymphedema-what-you-really-need-to-know/#respond Mon, 23 Dec 2024 00:40:27 +0000 https://pereaclinic.com/?p=18106 True or False: Common Myths About Lymphoedema Lymphoedema is a chronic swelling condition due to the accumulation of lymphatic fluid.  It can arise from various causes, including cancer treatments, trauma...

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True or False: Common Myths About Lymphoedema

Lymphoedema is a chronic swelling condition due to the accumulation of lymphatic fluid.  It can arise from various causes, including cancer treatments, trauma or genes. As it is not a common and understood condition, many misconceptions (myths)  surround it, often leading to unnecessary fear or misunderstanding among patients and healthcare providers alike. In this blog, I want to share with you what this condition really is and dispel some common myths about lymphoedema.

Myths about Lymphoedema: What is Lymphoedema?

As I said before, Lymphoedema is a chronic swelling condition. It occurs when your lymphatic system, which is vital for fluid balance and immune function, becomes obstructed or damaged. This can result from surgical procedures (lymphatic nodes or vessels removal), radiation therapy, infections, or genetic mutations. The condition has different stages (classified according to swelling level and symptoms ) that can lead to pain, discomfort and increase the risk of infections.

True or False: Common Myths About Lymphoedema

  •  Only major surgeries cause lymphoedema

False: Even minor procedures like sentinel lymph node biopsies can lead to lymphoedema, although the risk is lower compared to more extensive surgeries. Studies indicate that about 5% of patients who undergo sentinel node biopsy (biopsy of a lymph node in primary cancer) might still develop the condition.

  • Lymphoedema only develops in arms or legs

False: Lymphoedema may develop in the nearest area where the obstruction is located. For example, if there is a blockage in the neck´s lymphatic nodes, you can develop lymphoedema in the head or neck. Another common case is a blockage in pelvic area which produces lymphoedema in genital area. 

  • Air travel increases the risk of lymphoedema

True: Air pressure in the cabin is different from outside, also high altitudes have different pressure which increases the risk of swelling. It is recommended for patients with lymphoedema to use their compression garment the whole time during a flight.

  •  Exercise should be avoided if you have lymphoedema

False: Supervised exercise is not only safe but also beneficial for everybody, specially, lymphoedema patients. Regular physical activity helps maintain a healthy weight, increases blood and lymphatic flow; as a result, it  reduces the risk of developing the condition or , if you already have it, getting worse.

  • Blood draws and blood pressure checks can cause lymphoedema

False: These procedures are safe when performed by a professional. What you have to take into account is  to use the unaffected arm.

  • Compression garments do not help with lymphoedema management

False: Compression garments are pivotal in managing lymphoedema and can help stabilize or even reduce swelling when worn consistently and using the right pressure.

  •  There is nothing that can be done once lymphoedema develops

False: While lymphoedema is a chronic condition, it is manageable through different treatments including compression therapy, DCT Manual Lymphatic Drainage, exercise, and nutrition. In addition, it is key for you to know that early stages (0,1) of lymphoedema are reversible.

Myths about lymphoedema: Why is it important to learn about it?

Understanding the condition helps patients make informed decisions about their care, treatment options and reduces anxiety related to misconceptions. Lymphoedema may not be curable, however, it can be controlled and you also will improve your quality of life with appropriate care and lifestyle changes.

A final word…

Lymphoedema is a condition that requires careful management and understanding. By dispelling myths surrounding it, patients can better navigate their treatment options and engage in proactive health behaviors that may mitigate risks associated with this condition. 

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.breastcancer.org/treatment-side-effects/lymphedema

https://www.cancer.gov/about-cancer/diagnosis-staging/staging/sentinel-node-biopsy-fact-sheet

 

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Living with lymphedema: 10 daily self-care tips https://pereaclinic.com/living-with-lymphedema-10-daily-self-care-tips/ https://pereaclinic.com/living-with-lymphedema-10-daily-self-care-tips/#respond Fri, 13 Dec 2024 21:44:58 +0000 https://pereaclinic.com/?p=18099 Living with lymphedema Tips: 10 lifestyle changes Lymphoedema is a chronic swelling  condition. It is caused by the malfunction (blockage or dysfunction) of your lymphatic pathways (vessels or nodes) leading...

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Living with lymphedema Tips: 10 lifestyle changes

Lymphoedema is a chronic swelling  condition. It is caused by the malfunction (blockage or dysfunction) of your lymphatic pathways (vessels or nodes) leading to the accumulation of lymph fluid in a specific part of your body, especially limbs (arms or legs). Managing lymphoedema effectively often requires a combination of medical treatment and  lifestyle changes focused on nutrition, exercise, draining techniques, such as decongestive  lymphatic therapy (DLT), skin care,  and stress management. If you are dealing with lymphoedema, here are the key strategies to improve your life quality. Let´s keep an eye on these living with lymphedema tips!

1.Nutrition: eat well to reduce inflammation

Incorporate anti-inflammatory Foods: your diet needs:

  • High fiber vegetables and fruits
  • Spices: turmeric, cinnamon, ginger (they reduce inflammation), black pepper instead of salt.
  • whole grains  (beans,  lentils, brown rice, oatmeal, etc.)
  • baked or grilled lean proteins (fish, chicken, pork, beef)
  • healthy fats (olive oil, fatty fish, nuts, avocado seeds, etc.)

 These foods reduce inflammation and support your overall health. Ensure balanced protein consumption to support healing processes. 

Avoid Processed Foods, sugar and High-sodium products in order to reduce swelling and inflammation. You should avoid products like:

  • Trans-fats
  • saturated fats
  • Added sugars food or drinks
  • Fast food
  • High-sodium products, e.g. snacks, salt, etc.( sodium causes and increases inflammation).
  • Reduce carbohydrates intake

Hydration: staying hydrated is crucial. Drink water or sugar free beverages (remember sugar is proinflammatory). Keeping optimal hydration levels helps your lymphatic system to function properly, preventing fluid and water retention.

Maintain a healthy weight. Reducing weight (supervised by a professional), maintaining a healthy weight and gaining muscle tone helps you to reduce fat and inflammation. In other words, as fat reduces and you gain muscle there is the proper support for lymphatic vessels and nodes to work properly. In addition, a healthy weight allows you to be more active and energized.

2.Exercise

Practice regular physical activity. Here is key to find activities you enjoy in order to stay active and do it daily if possible. External  movement helps your lymphatic system to move!

  • Low-Impact Exercises: for example walking,  swimming, yoga in water or water aerobics that provide resistance while minimizing impact on joints. Water sports or activities can also enhance lymphatic drainage through hydrostatic pressure.
  • Resistance Training: start with light weight training to promote muscle pump function, which aids lymphatic health, then add weight as you feel comfortable with.
  • Cardio. Short, intense sessions are recommended alongside cardio routines.
  • Include stretching and mobility exercises to improve flexibility, prevent injury and help your lymphatic function (better fluid flow).

3. Compression garments and draining techniques

The preventative and management techniques used to get relief from symptoms are:

  • Wear your compression garment consistently. You should have 3 or 4 to make every daily laundry easier, so you always have at least one clean and ready to wear. Also, get garments in bigger sizes for those days when you get more inflamed.
  •  Get compression bandages and wraps for those moment you don´t want to wear a whole piece of compression clothes, also they are cheaper
  • Use a home pneumatic compression device or pump daily. It helps you to stimulate lymph flow. Ask your GP or lymphatic drainage specialist for advice.

4. Manual Lymphatic Drainage (MLD)

  • Consult a Professional lymphatic drainage specialist. It’s best to have a professional therapist teach you the right technique for self- MLD, as incorrect methods can be ineffective or even harmful.
  • Perform your self- lymphatic Drainage Massage daily.
  • Get regular (MLD) Manual lymphatic drainage (performed by a certified therapist).
  • When needed, get Decongestive Lymphatic Therapy (DLT), always performed by a certified professional.
  • Elevate your limbs to decompress, do it every day for 20 to 30 m or when needed.

5. Avoid Tight Clothing and Jewelry

  • Wear Loose and Comfortable Clothing, don´t forget your shoes. 
  • Proper fit. Look for comfortable clothes and shoes, remember you need to wear your compression garment or bandages underneath. 
  • Avoid jewelry, it is almost impossible to take it off when you get inflamed.
  • Replace Garments as Needed.

Be sure you feel comfortable with these techniques, ask your lymphatic drainage therapist for advice and techniques that you can try at home.

6.Look after your skin: create a daily routine!

Lymphoedema patients tend to have a more fragile, sensitive and thin skin due to inflammation. As a result, their skin becomes more prone to damage, irritation, dryness, cuts, and infections, for these reason, it is pivotal to create a daily skin care routine, here some of the steps to take into account:

  •  Keep your skin clean and dry 
  • Daily moisturizing (several times per day if needed)
  • Check for cuts or infections, and if you have, get first aids immediately (clean the area and apply antibiotic ointment).
  • Protect the Skin. Use sunscreen even under your compression garment or bandages or get garments rated for sun protection.

7.Right posture good motion: Practice good posture

  • Good posture facilitates  lymphatic flow. Stand with a straight back and move (walk) to improve your lymphatic flow.
  • Avoid crossing your legs for long periods, which can impede lymphatic and blood circulation.
  •  Ergonomic Support. If you spend long periods sitting at work, using ergonomic chairs or cushions will help you maintain proper posture. But remember to stand up and move for a few minutes every hour to improve your lymphatic flow and general circulation.

8. Sleep 

Prioritize your sleep quality by incorporating sleep routines like:

  • Take a bath to relax before bed
  • Avoid screens at least 2h before bedtime
  • Reduce water intake near your sleep hour
  • Be sure your bedroom is completely dark (no lights disturbances)
  • Find a lying position that you feel comfortable with, you may use a pillow between your legs or under your neck/ shoulder.
  • Aromatherapy may help you relax before sleeping.
  • Meditate.

9. Stress reduction or management.

Incorporate relaxing and breathing techniques such as:

  • Mindfulness,  
  • Yoga, 
  • Tai-chi 
  • Join a support group, talking with fellows has high rates of stress reduction.
  • Psychological or psychiatric support. Professional support is key to reduce stress and anxiety, and also to improve your general well being.
  • Stay informed and connected.

10. Regulate your temperature

  • Avoid Heat Exposure. Heat increases inflammation risk.
  • Cold Therapy for Swelling. Cold reduces inflammation.

Living with Lymphedema Tips: How to do it?

  • Gradual Changes. We all know that incorporating new habits is not an easy task, however you can do gradual changes  gradually rather than all at once to ensure sustainability and effectiveness. Little steps can make the difference!
  • Joint support groups. Consider joining support groups for shared experiences and sharing strategies and experiences.
  • Never skip your  Follow-Ups with a Lymphedema Specialist for tailored advice and support.

Living with lymphedema Tips: A final word…

Find your path. The management of the condition is multifactorial and hence not compatible with a one-size-fits-all strategy. Listen to your fellows, share experiences, ask your GP for advice and treatment and visit your Lymphatic drainage therapist. Changing your daily routine can make the difference. Your habits can reduce the impact of symptoms and improve your general well-being. 

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10406395/

https://www.youtube.com/watch?v=RyfPY1W6X6Y&t=197s

https://pubmed.ncbi.nlm.nih.gov/36201052/

 

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Traveling with Lymphedema: Tips for Flying and Long Trips https://pereaclinic.com/traveling-with-lymphedema-tips-for-flying-and-long-trips/ https://pereaclinic.com/traveling-with-lymphedema-tips-for-flying-and-long-trips/#respond Mon, 18 Nov 2024 20:54:43 +0000 https://pereaclinic.com/?p=18072 How to Travel Comfortably with Lymphedema Lymphedema is a chronic condition characterized by swelling, but it doesn’t have to keep you out from enjoying new adventures and making great memories....

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How to Travel Comfortably with Lymphedema

Lymphedema is a chronic condition characterized by swelling, but it doesn’t have to keep you out from enjoying new adventures and making great memories. With a bit of planning and the right strategies, you can manage symptoms, prevent flare-ups, and focus on what matters most—having a great time! Here are some practical tips to help you travel comfortably and confidently with lymphedema. Let’s dive in!

Traveling with lymphoedema: What should I do before flying?

First steps

  • Consult  your GP and Manual Lymphatic Drainage Therapist and talk about your travel plans and get checked to be sure there are any physical or infection risks. Also, that your limb is in its best state for traveling.
  • Ensure you have enough well-fitted compression sleeves, garments or stockings. These should be worn before, during and after flights (Always).
  • If vaccinations are needed, avoid injections in the affected limb.
  • If you use a compression pumping device, register it as a medical device. Get a note from your GP. This note will be required by the airport and airline authorities (because the device is part of your hand luggage, but it doesn’t count as one). 
  • Book an aisle seat, so you can move during the flight and be more comfortable. Also look for extra space, you can choose aisle seats on the first line of each category of  the airplane (the ones that have a wall in front of them). 

What to package and what to do the week before the flight?

  • Get an extra session of MLD with your therapist 1 or 2 days before flying.
  • You might increase your pumping sessions. In other words, if you use your pumping device for 20m every day, you can increase it to 30m or do it in the morning and at night.
  • Ask your GP for a prescription of your pumping device. 
  • Check the weather and activities you would like to do in order to plan what to wear and what type of compression you will need.
  • Pack your travel-size kit, in your handbag, with compression bandages, antibiotic ointment, skincare products and all the lymphoedema care essentials you may need during the flight or in case your luggage gets lost.

Luggage: what to pack

  • Pack different sizes of clothes, it helps if fluid retained level increases.
  • Daily use of compression supplies, for example: garments (for day and night), velcro wraps, sleeves, socks, etc.
  • Some lymphedema patients get more relief when also wearing compression garments (low grade compression) on the non affected limb. If you want to try, pack some of them. 
  • If you use a compression pump, remember to pack an electrical adapter to charge or connect your device.

During the flight

  • Wear comfortable, non-restrictive clothing that allows you to move, be comfortable and fresh.
  • Keep your shoes on during the entire flight, remember they work as a compression garment too. If not, trying to put it on later is going to be hard due to swelling.
  • Wear your compression garment before, during and after the flight.
  • Stretch and move your body every hour (to stimulate fluid flow).
  • Do gentle exercises: do ankle circles, lift your heels and toes alternately, and squeeze a stress ball to keep your muscles engaged.
  • Try to elevate your limbs. In the case of your legs, using the airline pillow, blankets, even your handbag might help.
  • Stay hydrated. Drink plenty of water.

After traveling

  • Walk (with your compression garment on) to stimulate pump activity, then, rest and elevate.
  • Perform self-Manual Lymphatic Drainage.
  • Use your pumping device if you have one.
  • Get under cold/warm, Never hot, water (pool, sea, lake, bathtub, or get a cold shower, etc.). Cold water helps to compress.
  • Wear sunscreen under your garment to avoid sunburn or wear a garment rated for sun protection.
  • Stay hydrated and moisturized.

Traveling with Lymphedema: Keep in mind…

  • Altitude impacts swelling. In high altitudes (mountains and airplane cabins) pressure is less than at sea level. That is to say, less pressure means less external compression, so it might be helpful that you wear extra compression like bandages or wraps.
  • Don’t lift heavy luggage. Use wheeled luggage to minimise strain. If you need assistance with your carry-on or your pumping gear, ask flight attendants or fellow travelers for help.
  • Keep always an eye on your skin. People with lymphoedema are 71 times more prone to develop infection because their skin gets more sensitive, fragile and thin so cuts and scratches are easier to get.
  • Remember you are on holiday, but lymphoedema is not! so keep going with your daily care routine (movement, Lymphatic drainage, compression, and skin care).
  • Enjoy! And if you have any doubt, you can contact me, I´m always happy to help! 

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://pubmed.ncbi.nlm.nih.gov/38837503/

https://onlinelibrary.wiley.com/doi/10.1111/jhn.13330

https://onlinelibrary.wiley.com/doi/10.1111/jhn.13330#:~:text=CKD%20and%20MAD.-,Conclusions,unilateral%20stage%202%20secondary%20lymphoedema.

https://www.medicalnewstoday.com/articles/how-to-treat-swollen-lymph-nodes-in-neck-naturally#natural-remedies

https://www.nature.com/articles/s41598-020-78407-x

https://onlinelibrary.wiley.com/doi/abs/10.1111/cxo.13148

https://pmc.ncbi.nlm.nih.gov/articles/PMC7056467/

 

 

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The role of Exercise in Lymphedema Treatment: Best Exercises for Swelling Reduction  https://pereaclinic.com/the-role-of-exercise-in-lymphedema-treatment-best-exercises-for-swelling-reduction/ https://pereaclinic.com/the-role-of-exercise-in-lymphedema-treatment-best-exercises-for-swelling-reduction/#respond Wed, 30 Oct 2024 00:29:08 +0000 https://pereaclinic.com/?p=18063 Effective Exercises for Lymphedema: What You Need to Know Lymphedema, a condition characterized by swelling due to lymph fluid buildup, can be a challenging and life-altering experience. It may arise...

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Effective Exercises for Lymphedema: What You Need to Know

Lymphedema, a condition characterized by swelling due to lymph fluid buildup, can be a challenging and life-altering experience. It may arise as primary lymphedema, developing on its own, or as secondary lymphedema, often following cancer treatments or severe trauma. Regardless of the type, managing this condition is crucial for maintaining quality of life, and exercises play a pivotal role in this process. Incorporating regular movement into your routine can aid in reducing swelling, improving mobility, and enhancing overall well-being. Here’s why exercise should be a fundamental part of your daily self-care regimen for managing lymphedema.

The Role of Exercise in Lymphedema

  1. Increases Lymphatic Flow

Exercise stimulates muscle contractions. These external motions help push lymph fluid through the lymphatic vessels. This can reduce swelling and improve overall lymph drainage.

  1. Enhances Mobility and Strength

Daily physical activity helps you to gain or maintain muscle tone and joint flexibility. Together will help move the lymph, reduce stiffness, pain, swelling and discomfort. In addition your mental health will improve and you may feel energized, stronger and able to be even more active.

  1. Improves Blood Flow

Exercise increases blood circulation, as a result, more oxygen and nutrients to tissues will be delivered. It speeds up recovery and reduces symptoms.

  1. Psychological Benefits

Physical activity improves your mood by increasing endorphin, serotonin and dopamine levels. It reduces feelings of anxiety or depression that may accompany chronic conditions like lymphedema.

  1. Weight Management

A healthy weight is good for your general well being. Also, in the case of lymphedema, a stable weight or weight loss ( patients who need it) can further reduce the severity of lymphedema symptoms, as excess weight can exacerbate fluid and fat  retention reducing lymphatic flow.

Exercise for Lymphedema Management: What Are Your Options?

Water exercises

(swimming, aqua yoga, aqua-dance, walking inside the pool, etc.)

  • Water supports your limbs and takes out pressure from your joints.
  • Hydrostatic pressure helps to push accumulated fluid (so you don’t need to wear your garment).
  • Reduces swelling, pain and fatigue.
  • Improves cardiovascular function.
  • Water resistance improves strength.
  • Improves lymphatic function.

Strength and aerobic Training

  • Light resistance exercises -like those made with bandages- can improve muscle strength without exacerbating symptoms.
  • If you try weight lifting, start with light weight and short duration. Then, increase intensity as recommended and supervised.
  • Remember your lymphatic system needs mechanical motion (to produce that pumping effect) in order to increase lymphatic function.
  • Aerobic and strength training improve your cardiovascular function while reducing swelling, pain and improving your overall well-being.

Flexibility Exercises

  •  Stretching routines help gain, maintain and improve range of motion.
  • Help to increase lymphatic function.

Exercises for lymphedema: To keep in mind…

While exercise is beneficial, it’s essential to approach it safely:

  • Wearing Compression Garments (compression sleeves or bandages) during exercise helps your muscles pump lymph fluid and helps control swelling.
  • Start with low-intensity activities and gradually increase duration and intensity based on comfort and ability.
  • Keep an eye on your symptoms, for example if you notice any changes in swelling or discomfort during or after exercise ask your lymphatic drainage therapist or GP. Know your limits.
  • Regular exercise as part of your lymphedema treatment enhances your physical well-being and also mental health.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.youtube.com/watch?v=RyfPY1W6X6Y&t=197s

https://www.woodlandshospice.org/images/pictures/family-support/lymphodema/recreational-exercise-lymphoedema.pdf

https://www.cancerresearchuk.org/about-cancer/coping/physically/lymphoedema-and-cancer/treating/exercise

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10406395/

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Living with lymphedema: 10 lifestyle changes https://pereaclinic.com/living-with-lymphedema-10-lifestyle-changes/ https://pereaclinic.com/living-with-lymphedema-10-lifestyle-changes/#respond Sun, 20 Oct 2024 23:49:32 +0000 https://pereaclinic.com/?p=18055 Living with lymphedema: 10 daily self-care tips Lymphedema is a chronic swelling  condition. It is caused by the malfunction (blockage or dysfunction) of your lymphatic pathways (vessels or nodes) leading...

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Living with lymphedema: 10 daily self-care tips

Lymphedema is a chronic swelling  condition. It is caused by the malfunction (blockage or dysfunction) of your lymphatic pathways (vessels or nodes) leading to the accumulation of lymph fluid in a specific part of your body, especially limbs (arms or legs). Managing lymphedema effectively often requires a combination of medical treatment and  lifestyle changes focused on nutrition, exercise, draining techniques, such as decongestive  lymphatic therapy (DLT), skin care,  and stress management. If you are dealing with lymphoedema, here are 10 lymphedema tips to improve your life quality.

1.Nutrition: eat well to reduce inflammation

Incorporate anti-inflammatory Foods: your diet needs:

  • High fiber vegetables and fruits
  • Spices: turmeric, cinnamon, ginger (they reduce inflammation), black pepper instead of salt.
  • whole grains  (beans,  lentils, brown rice, oatmeal, etc.)
  • baked or grilled lean proteins (fish, chicken, pork, beef)
  • healthy fats (olive oil, fatty fish, nuts, avocado seeds, etc.)

These foods reduce inflammation and support your overall health. Ensure balanced protein consumption to support healing processes. 

Avoid Processed Foods, sugar and High-sodium products in order to reduce swelling and inflammation. You should avoid products like:

  • Trans-fats
  • saturated fats
  • Added sugars food or drinks
  • Fast food
  • High-sodium products, e.g. snacks, salt, etc.( sodium causes and increases inflammation).
  • Reduce carbohydrates intake

Hydration: staying hydrated is crucial. Drink water or sugar free beverages (remember sugar is proinflammatory). Keeping optimal hydration levels helps your lymphatic system to function properly, preventing fluid and water retention.

Maintain a healthy weight. Reducing weight (supervised by a professional), maintaining a healthy weight and gaining muscle tone helps you to reduce fat and inflammation. In other words, as fat reduces and you gain muscle there is the proper support for lymphatic vessels and nodes to work properly. In addition, a healthy weight allows you to be more active and energized.

2.Exercise

Practice regular physical activity. Here is key to find activities you enjoy in order to stay active and do it daily if possible. External  movement helps your lymphatic system to move!

  • Low-Impact Exercises: for example walking,  swimming, yoga in water or water aerobics that provide resistance while minimizing impact on joints. Water sports or activities can also enhance lymphatic drainage through hydrostatic pressure.
  • Resistance Training: start with light weight training to promote muscle pump function, which aids lymphatic health, then add weight as you feel comfortable with.
  • Cardio. Short, intense sessions are recommended alongside cardio routines.
  • Include stretching and mobility exercises to improve flexibility, prevent injury and help your lymphatic function (better fluid flow).

3. Compression garments and draining techniques

The preventative and management techniques used to get relief from symptoms are:

  • Wear your compression garment consistently. You should have 3 or 4 to make every daily laundry easier, so you always have at least one clean and ready to wear. Also, get garments in bigger sizes for those days when you get more inflamed.
  •  Get compression bandages and wraps for those moment you don´t want to wear a whole piece of compression clothes, also they are cheaper
  • Use a home pneumatic compression device or pump daily. It helps you to stimulate lymph flow. Ask your GP or lymphatic drainage specialist for advice.

4. Manual Lymphatic Drainage (MLD)

  • Consult a Professional lymphatic drainage specialist. It’s best to have a professional therapist teach you the right technique for self- MLD, as incorrect methods can be ineffective or even harmful.
  • Perform your self- lymphatic Drainage Massage daily.
  • Get regular (MLD) Manual lymphatic drainage (performed by a certified therapist).
  • When needed, get Decongestive Lymphatic Therapy (DLT), always performed by a certified professional.
  • Elevate your limbs to decompress, do it every day for 20 to 30 m or when needed.

5. Avoid Tight Clothing and Jewelry

  • Wear Loose and Comfortable Clothing, don´t forget your shoes. 
  • Proper fit. Look for comfortable clothes and shoes, remember you need to wear your compression garment or bandages underneath. 
  • Avoid jewelry, it is almost impossible to take it off when you get inflamed.
  • Replace Garments as Needed.

Be sure you feel comfortable with these techniques, ask your lymphatic drainage therapist for advice and techniques that you can try at home.

6.Look after your skin: create a daily routine!

Lymphoedema patients tend to have a more fragile, sensitive and thin skin due to inflammation. As a result, their skin becomes more prone to damage, irritation, dryness, cuts, and infections, for these reason, it is pivotal to create a daily skin care routine, here some of the steps to take into account:

  • Keep your skin clean and dry 
  • Daily moisturizing (several times per day if needed)
  • Check for cuts or infections, and if you have, get first aids immediately (clean the area and apply antibiotic ointment).
  • Protect the Skin. Use sunscreen even under your compression garment or bandages or get garments rated for sun protection.

7.Right posture good motion: Practice good posture

  • Good posture facilitates  lymphatic flow. Stand with a straight back and move (walk) to improve your lymphatic flow.
  • Avoid crossing your legs for long periods, which can impede lymphatic and blood circulation.
  •  Ergonomic Support. If you spend long periods sitting at work, using ergonomic chairs or cushions will help you maintain proper posture. But remember to stand up and move for a few minutes every hour to improve your lymphatic flow and general circulation.

8. Sleep 

Prioritize your sleep quality by incorporating sleep routines like:

  • Take a bath to relax before bed
  • Avoid screens at least 2h before bedtime
  • Reduce water intake near your sleep hour
  • Be sure your bedroom is completely dark (no lights disturbances)
  • Find a lying position that you feel comfortable with, you may use a pillow between your legs or under your neck/ shoulder.
  • Aromatherapy may help you relax before sleeping.
  • Meditate.

9.Stress reduction or management.

Incorporate relaxing and breathing techniques such as:

  • Mindfulness,  
  • Yoga, 
  • Tai-chi 
  • Join a support group, talking with fellows has high rates of stress reduction.
  • Psychological or psychiatric support. Professional support is key to reduce stress and anxiety, and also to improve your general well being.
  • Stay informed and connected.

10.Regulate your temperature

  • Avoid Heat Exposure. Heat increases inflammation risk.
  • Cold Therapy for Swelling. Cold reduces inflammation.

Lymphedema lifestyle changes: How to do it?

  • Gradual Changes. We all know that incorporating new habits is not an easy task, however you can do gradual changes  gradually rather than all at once to ensure sustainability and effectiveness. Little steps can make the difference!
  • Joint support groups. Consider joining support groups for shared experiences and sharing strategies and experiences.
  • Never skip your  Follow-Ups with a Lymphedema Specialist for tailored advice and support.

A final word…

Find your path. The management of the condition is multifactorial and hence not compatible with a one-size-fits-all strategy. Listen to your fellows, share experiences, ask your GP for advice and treatment and visit your Lymphatic drainage therapist. Changing your daily routine can make the difference. Your habits can reduce the impact of symptoms and improve your general well-being. 

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10406395/

https://www.youtube.com/watch?v=RyfPY1W6X6Y&t=197s

https://pubmed.ncbi.nlm.nih.gov/36201052/

 

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Optimizing recovery: How do you treat fibrosis after liposuction, BBL or Tummy tuck? https://pereaclinic.com/how-do-you-treat-fibrosis-after-liposuction-bbl-or-tummy-tuck/ https://pereaclinic.com/how-do-you-treat-fibrosis-after-liposuction-bbl-or-tummy-tuck/#respond Wed, 28 Feb 2024 23:52:23 +0000 https://pereaclinic.com/?p=17652 “Bye, bye Fibrosis”: 7 treatments that help to break down fibrosis after aesthetic surgery Breaking down fibrosis  after aesthetic surgery (like liposuction, BBL or Tummy tuck) requires tailored treatments to...

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“Bye, bye Fibrosis”: 7 treatments that help to break down fibrosis after aesthetic surgery

Breaking down fibrosis  after aesthetic surgery (like liposuction, BBL or Tummy tuck) requires tailored treatments to alleviate discomfort, reduce inflammation, pain and address tissue irregularities; in order to get the best results. In this blog, we´ll explore seven methos that will make you say “bye” to this uncomfortable issue. But first, let´s start with the basics…

Fibrosis after liposuction, BBL or  tummy tuck, is part of the healing process and occurs when your body develops excessive fibers of fibroblast ( made of collagen) creating irregularities in  the tissue.  Factors such as, lack of compression, genetics, individual healing, used surgical techniques can influence the likelihood and severity of fibrosis.

Patients may experience fibrosis between 1 to 12 weeks after surgery, with some cases presenting later. Symptoms of fibrosis include:

  • Local pain 
  • hard lumps
  • skin discoloration 
  • irregularities, retractions 
  • skin adhesions
  • limited movement (lack of  tissue flexibility) 
  • complex scar tissue formation (overproduction of scar tissue)
  • Seroma (accumulated fluid pocket)

To get the best outcomes, the treatment should be  tailored to each patient depending on the stage of the healing and the characteristics of their fibrosis at the moment of the consultation. 

 Break down Fibrosis: How do you treat fibrosis after liposuction, BBL or Tummy tuck? 

There are 7 proven methos to break down fibrosis after aesthetic surgery, let´s know them!

1. Massage modalities 

  • Manual lymphatic drainage

This  massage technique specializes and helps to stimulate lymphatic flow and reduce swelling. It may also break down fibrosis (fibrous tissue) and improve the smoothness of the skin when done properly. Manual lymphatic drainage is essential in the first week of your recovery. The quicker your body absorbs or eliminates the excess of  fluids, the easier your skin can attach  and the body will create less fibrosis. 

  •  Scar tissue/ fibrosis massage

This massage technique targets  deep scar tissue fibers. The massage can help break down fibrous adhesions and improve the flexibility and mobility  in the surgery area. Scar tissue massage isn’t a deep tissue massage. Your therapist must perform this massage carefully and gently in order to avoid further damage and irritation of the tissue.  For that reason, you should look for a qualified healthcare professional, such as a physiotherapist  or  massage therapist, who has experience in working with scar tissue.

2. Adequate compression 

  • Use of Faja or Garment 

A compression garment (faja) can help to minimize swelling and related discomfort after surgery. Maintaining constant pressure on the surgical site will prevent excess build-up of subcutaneous fluid  or swelling, and encourage your body to reabsorb the fluid that it has been accumulating.

Wear your compression garment  24/7, between 4 to 6 weeks  (with the exception of showering or during your post op treatment ). The exact timeframe will vary depending on your body healing process, the type of procedure you had and any additional factors determined by your plastic surgeon or  therapist. After their approval you can wear the garment for 12 hours per day (day or night, that it´s up to you) for several weeks (until your fibrosis breaks down).

Take into account that if your faja is too tight, it will reduce blood  and oxygen flow which increases fibrosis, so wear the appropriate compression garment. If you are not sure about the right compression, you can contact me, I´ll be glad to help!

  •  Additional padding: 360 foam/ lipo foam 

Compression foam plays a vital role in the post-op recovery  after cosmetic surgery. Unlike traditional pressure garments,  foam provides even pressure over the treated area, leading to even healing and better results. 

Experts recommend 360 foam when you have fibrosis in the back and abdomen (e.g. after lipo 360). Some of the reasons I recommend it, are: it doesn´t move from place; It gives you uniform compression in abdomen and back. Besides, it doesn´t allow the formation of  skin irregularities, thanks to its structure. 360 foam is a hole unit that uses a Velcro fastening system in  the back. In addition, it adds extra compression (you can tight it as much as you want). If you can find it, it will be the best option to compress large areas such as abdomen and back.

Other type of foam I recommend is a lipo foam compression sheet.  Experts recommend lipo foam for the abdominal area after liposuction if 360 foam isn’t available.  Lipo foam works wonders in areas like the chin, arms, legs and upper back. 

Both 360 foam and Lipo foam help to:

  • form a barrier between the garment and the skin,
  •  prevent  sink burns, 
  • avoid discomfort, marking, creasing and digging of the faja,
  • apply uniform pressure on the skin reducing swelling and bruises,
  • improve body shape generating a molding effect,
  • provide even distribution of the fat cells, as a result, you will have better body shape and appearance.

3. Equipment

  •  Ultrasound Therapy: 

Ultrasound therapy uses high-frequency sound waves to penetrate deep into tissues, generating heat and promoting circulation. In the management of fibrosis, ultrasound therapy helps to:

  • reduce inflammation, 
  • break down scar tissue, by promoting tissue relaxation and increasing the flexibility of collagen fibers, 
  • aid in softening and reducing the density of the scar tissue, 
  • improve range of motion, 
  • reduce pain and stiffness. 

It’s important that  a qualified healthcare professional, such as a physical therapist or physician,  treats you with ultrasound because these kind of specialist can assess the tissue and tailor the treatment according to your needs.

  •  Radiofrequency (RF) Therapy

 Radiofrequency(RF)  therapy uses energy to heat the skin and underlying tissues, stimulating collagen production, and promoting skin tightening. This can be beneficial in reducing the appearance of fibrosis. South American surgeons recommend Monopolar radiofrequency to treat fibrosis. However, they use it only at the end of the proliferative phase of the healing. 

  •  Cavitation

Cavitation ultrasound uses focused ultrasound waves.  Experts use it to soften the trapped adipose (fat) within the fibrotic tissue beneath the skin. This can be beneficial in reducing the appearance of fibrosis. Cavitation is only beneficial for the patient if introduced at the right stage of the healing. On the other hand, if used for prolonged time and the wrong settings, it could increase the production of fibrosis due to the nature of the ultrasound waves.   

4. Laser Therapy

Laser treatments stimulate collagen production and improve skin texture.  Experts use different types of lasers according to the specific characteristics of the fibrosis. I haven’t used lessers yet in my post surgery treatments, so i can’t comment in this machine, but i know some surgeons recommended. 

5.Exercise 

Gentle exercises, including stretching and targeted movements, I always recommend to improve tissue flexibility and break down fibrous adhesions. 

6.Medications – Corticosteroid Injections

In severe cases, corticosteroid injections may be considered to reduce inflammation and soften fibrous tissue. This is typically used in cases where the fibrosis is more pronounced and  tissue didn’t respond to other treatments. Your surgeon is the only professional who can prescribe them.

7.Surgical Revision

In severe cases, surgical revision may be considered to address persistent irregularities. This involves additional surgery to remove or reposition excess fat, scar tissue  and reshape the treated area. Your surgeon will recommend this procedure just in extreme cases or when other treatments have failed.

 Please make sure you find a professional specialised in post-surgery after care as not all the equipment and techniques listed above can be used in each patient. In addition, not all the equipment can be used in the same appointment. A  well experienced professional will be able to combine the equipment and techniques based on your particular needs. 

Break down fibrosis: in short…

It is crucial to seek professional guidance from a specialized post-surgery  after care provider who can tailor a treatment plan based on individual needs. Early intervention and adherence to recommended protocol can effectively manage fibrosis post-surgery. Approximately 80% of fibrosis cases can be successfully treated with manual techniques and proper compression methods when overseen by a skilled post-surgery specialist.

For further information or inquiries about my treatments, please don’t hesitate to contact me. I´m dedicated to assisting you throughout your recovery journey.

I hope this information is useful. If you need advice or have any questions about my treatments , please contact me. You can find me in Mill Hill Broadway and Islington. I´m always happy to help!

References:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6968505/

https://pereaclinic.com/hard-lumps-after-liposuction-how-to-reduce-fibrosis-after-surgery/

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7 tips to speed up wound healing after plastic surgery https://pereaclinic.com/7-tips-to-speed-up-wound-healing-after-plastic-surgery/ https://pereaclinic.com/7-tips-to-speed-up-wound-healing-after-plastic-surgery/#respond Thu, 30 Jun 2022 21:41:31 +0000 https://pereaclinic.com/?p=14279 Are you having plastic surgery? If that’s your case, let me tell you my dear friend that you are not alone, in 2019, roughly 27 thousand cosmetic surgeries were carried...

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Are you having plastic surgery?

If that’s your case, let me tell you my dear friend that you are not alone, in 2019, roughly 27 thousand cosmetic surgeries were carried out in the UK.  When considering cosmetic procedures such as a nose lift or lip enhancement, one of the most  concerns for some people is wound healing, especially if the surgery has been done abroad. What to do if the wound gets infected, how to clean it daily without medical assistance and so on. It is important to take care of the wound in order to speed up the healing process, prevent complications and have the nice results you expect. 

The first step in your wound healing process is to follow your surgeon’s instructions in order to prevent further issues (infections or visible scars). In this blog, I give you 7 tips you can take into account to take care and speed up the wound healing process, let´s know them!

1.Keep your incision clean and dry.

Keep your incision clean and dry all the time, don’t allow water in your wound for the first 24 hours after surgery, or until the plastic surgeon recommends it. 

On the other hand, you have to avoid non-prescribed ointments, creams, lotions or gels in the wound at least 2 weeks after surgery. If there is an opening or a spitting stitch (that’s a separate issue and you need to talk to the surgeon or nurse). Excess of moisture can cause the stitch to fall and open, that is the reason why the incision must be dry. 

If you notice  that your wound takes longer to heal, sometimes this is due to lack of ventilation to the wound. Remove your garment for one or two hours per day and allow the wound to get fresh air, of course talk to your surgeon first.

2.Good energy means eating properly and stay hydrated

Food is your principal source of energy and helps your body to heal properly. However, not all foods are good for you, eat what benefits your body the most, in my blog What to eat to heal faster you can find more information on what to eat and what to avoid.  

Food has different roles for example:

  • increase wound healing
  • anti-inflammatory 
  • boost your immune system
  • create new blood cells
  • reduce swelling
  • heal faster
  • etc.

As food is key for wound healing it is also hydration. Increase your plain or flavored water intake in order to eliminate toxins and residual products from the surgery, but avoid high calorie (sugar added) and carbonated beverages.

3.Clothes matters

What you wear is important for wound healing. Avoid tight and synthetic clothes specially on the incision area because it can cause irritation. In addition, according to your surgery type you will have to wear a compression garment right after surgery. It is key to reduce swelling and edema, increase fluid and lymph flow, help contour the area and protect the incisions from direct rubbing, so look for the correct one that really fits you. Invest in good quality garments to avoid skin and wound irritation (Colombian brands are the best!). 

4.Movement vs Rest 

It is important to move right after surgery. Move as much as you can, but be careful. You can start with walking or pumping exercises, these improve blood flow, prevent blood clots and increase lymph movement. All of them improve and speed up wound healing.

On the other hand, you should always listen to your body. If you feel tired just rest! You may feel anxious about getting back to work, but allow yourself to rest as needed. Ask your surgeon about returning to your daily life activities and follow her/his instructions.

And don’t forget to avoid movements that may affect the wound or its surrounding area. 

5.No sun = no visible scar

Sun exposure increases the risk of hyperpigmentation in wounds, so avoid direct sun exposure as much as you can and always wear sunscreen and sun protection clothing.

6.Manual lymphatic drainage to heal fast

MLD has many benefits, some of them are: 

  • reduce swelling and edema, 
  • improve lymphatic and blood flow, 
  • reduce toxins and wastes, 
  • boost your immune system 
  • increase wound healing
  • and more…

7.Bonus… (I think my wound could be infected)

call your surgeon or GP if there is:

  •  too much pain in the area
  • signs of infection like redness, heat  or swelling
  • unexpected bleeding or pus
  • bad smell
  • your wound gets bigger or deeper
  • necrosis ( black area around the wound)
  • fever

A final word…

Every day more people book their post-surgery treatment even before surgery to speed up wound healing, reduce post-surgery risks and have better and long lasting outcomes. If that is your case do it with those who treat you better!

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in  Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References: 

https://www.statista.com/statistics/594628/plastic-surgeons-in-the-united-kingdom-uk-by-staff-grade/#:~:text=In%202019%2C%20roughly%2027%20thousand,fold%20between%202003%20and%202015.

https://www.webmd.com/first-aid/surgical-wound-care#091e9c5e81126fd2-2-5

 

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Possible complications after lipo (part 2) https://pereaclinic.com/possible-complications-after-lipo-part-2/ https://pereaclinic.com/possible-complications-after-lipo-part-2/#respond Thu, 23 Jun 2022 22:30:24 +0000 https://pereaclinic.com/?p=14238 Possible complications after lipo and how to deal with them (part 2) In my previous blog, I talked about liposuction or lipo and how it  as any other surgery could...

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Possible complications after lipo and how to deal with them (part 2)

In my previous blog, I talked about liposuction or lipo and how it  as any other surgery could have possible complications; however, most of  them can be avoided. In this blog, I will continue sharing with you some of  the post-lipo related complications that I come across in my clinic and how to deal with them. So, let’s keep reading…

Under-correction

Under-correction means that your surgeon has left behind excess or residual fat in the liposuctioned area. As a result, you may see the difference in shape between one side and the other.

These fat deposits must be meticulously suctioned to improve the overall contours. Your surgeon usually checks if both parts of your body look the same or have the same contour before finishing the procedure, when she/he detects any difference corrective measures will be taken at that moment.

How to treat it:

If  the under-correction is not detected during surgery, your surgeon will perform the correction 6 months after the primary surgery in order to allow your body rest and heal.

Skin laxity

Skin laxity is the consequence of poor skin retraction; sometimes it happens because of lack of skin flexibility, but in other cases it is due to the high amount of removed fat. The most common areas that present it are:

  • Tummy
  • Arms
  • Tights

How to treat it:

  • You should wear the compression garment for a longer period of time.
  • MLD may help your skin elasticity while eliminating excess fluids and reducing inflammation.
  • Exercise and a healthy lifestyle.
  • Be patient, in some cases it takes almost a year to see final results.
  • If after this period of time and post- surgery treatment your condition doesn’t improve, your surgeon may consider a new intervention to eliminate excess skin(just in extreme cases).

Hyperpigmentation

Skin hyperpigmentation is common in some types of skins, especially after trauma. Other reason of skin hyperpigmentation after lipo are:

  • Hemosiderin deposition from ecchymosis
  • Excessive pressure from compression garments (use the proper one)
  • Friction on the area
  • Sun exposure
  • Some medicines can make you prone to hyperpigmentation

How to treat it:

  • Use the right compression garment, we can advise you what fits you best. according to your needs and type of surgery.
  • Avoid sun exposure and always wear sunscreen. 
  • A dermatologist can prescribe you a cream for hyperpigmentation, for example hydroquinone.
  • Usually, hyperpigmentation disappears by itself 12 months after the procedure.

Scar related problems

Very few cases present scaring problems after lipo, but some causes can be:

  • If your skin is prone to develop hypertrophic scars or keloids.
  • Inadequate sized incisions (always look for a certified surgeon).
  • Poor wound healing.

How to treat it:

  • Your surgeon may prescribe you steroid creams or injections in the affected area.
  • Take good care of the incisions (follow your surgeon’s instructions).
  • You may need hands on post-surgery treatment like MLD and massage. These may help you heal better and reduce scars.
  • Extreme cases may need re-excision.

Necrosis after lipo

Skin necrosis is when  part of your skin (where lipo was performed) turns into black because cells start dying. If you think you have had started to develop necrosis ask your surge to receive treatment immediately.

Necrosis could be due to:

  • Smokers are more prone to develop skin necrosis.
  • Aggressive liposuction that causes damage to the subdermal vessels.

How to treat it:

  • Extreme cases will need a tailored treatment prescribed by your surgeon.
  • you can improve blood flow with MLD, but it is not a treatment for necrosis.

Chronic Pain as neurological complication

Chronic pain is rare, but in most cases it goes away by itself after some months. It could be due to a neuroma (pinched nerve, excessive growth of nerve tissue) or due to injury to underlying fascia or muscle. 

How to treat it:

  • In my blog about workplace first aider on dealing with chronic pain, I tell you how to deal with it and how MLD, massage and our hands-on treatment can help you.
  • Painkillers may help, but ask your GP first.

Hypoaesthesia a a neurological sequel

Hypoaesthesia is very common after liposuction, but sensations generally return to normal 12 months after lipo. However, long term hypoaesthesia may be due to damage to the cutaneous sensory nerves and it needs specialized treatment.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

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Possible complications after lipo (part 1) https://pereaclinic.com/possible-complications-after-lipo-part-1/ https://pereaclinic.com/possible-complications-after-lipo-part-1/#respond Wed, 15 Jun 2022 11:19:55 +0000 https://pereaclinic.com/?p=14210 Possible complications after lipo and how to deal with them (part 1) Some people may think that lipo (liposuction) is an easy way to lose overall-weight, but it is not....

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Possible complications after lipo and how to deal with them (part 1)

Some people may think that lipo (liposuction) is an easy way to lose overall-weight, but it is not. In fact,  Liposuction is a surgical procedure that uses a suction technique to remove fat from those annoying (localized fat) areas of your body. People choose liposuction because it also contours these areas. Experts also call it lipoplasty or body contouring. If you want to try a Smart Lipo in Atlanta, you may set a consultation with Dr. Cox to find out if a Smart Lipo is right for you.

Liposuction  can help to remove localized fat for example your abdomen, hips, thighs, buttocks, arms or neck. There is a limit on how much fat can be removed during the procedure.  If you are considering going under the knife make sure you don’t put on weight before the surgery. This is a big mistake people often make. 

Liposuction is a surgery and like any other surgery, you could have possible complications, however, most of these complications can be avoided. In my previous blog “nutrition before and after surgery” In this blog, I will share with you some of  the post-lipo related complications  that I come across in my clinic and how to deal with them.

What are the possible complications after lipo?

Oedema

Swelling is normal after any trauma is caused to the body. In the case of liposuction, inflammation can start 24 to 48h after the procedure and during the following 10-14 days it can continue mildly increasing. However, it is controlled by the compression garment you have to use during the following 4 to 6 weeks after the procedure.

Persistent oedema can be due to:

  • Preoperative anemia (lack of nutrients before surgery)
  • Low serum proteins
  • Kidney malfunction
  • other surgical contraindications

How to deal with oedema

  • Wear your compression garment 24/7 right after surgery. Compression is very important. 
  • Take care of your wound, remember some of them will have draining devices.
  • Use MLD as soon as you are allowed to in order to drain excess and remaining  fluids, also to increase wound healing and improve circulation.

Bruising

Bruises also appear immediately after the procedure. In some cases, the peak is by the end of 7 to10 days, but generally disappears by 2 to 4 weeks after the surgery. 

Severe and persistent bruising is related to:

  • Chronic smoking, 
  • Use of blood thinners 
  • Abnormal bleeding/clotting profile
  • Bleeding from superficial veins damaged during the liposuction (only in a few cases) 

How to deal with bruising

  • Don’t smoke at least 3 before surgery and wait until your surgeon allows you to after surgery.
  • Stop using blood thinners (your surgeon will tell you when)
  • MLD will help bruises disappear faster.
  • Apply arnica on the area 

Fibrosis

Fibrosis is a set of imperfections that you can observe after liposuction and are described as painful hard lumps under your skin where liposuction has been done. It can also appear as large pores, tissue discoloration and uneven areas.

Risk factors for fibrosis

  • The size of your scar. When the scar is big there are more possibilities to develop fibrous tissue.
  • Genetics. There are people who are prone to develop fibrosis even when having small cuts, they can develop big scars (keloids). 
  • Lack of movement.  Sitting for a long period increases the risk of fibrosis. Remember you need to move every hour for 5 minutes after your surgery and increase exercise as soon as you start feeling better. 
  • Wrong type garment and compression 

How to deal with fibrosis

  • Take care of your wound (follow your surgeon’s recommendations)
  • Star your post surgery aftercare as soon as possible, so each technique can be applied at the right time of the healing such as: MLD is fundamental during the first phase of your recovery, MLD will help you to avoid or reduce fibrosis if needed
  • Wear the compression garment that fits you.

Seromas

Seroma is a mass or lump caused by localized accumulation of clear fluid or serum within your tissue, organ or body cavity. It is a side effect of surgery or trauma. In other words, It is a serum pocket on your skin.

Risk factors

  • Surgery
  • Trauma

 How to deal with seromas

Most seromas can be reabsorbed into your body, sometimes it can take almost a month. However, in severe cases it can take a year and you may experience hardening once the seroma heals. To reduce or improve seroma reabsorption use MLD as soon as you are allowed to and wear your compression garment.

When to see a doctor to drain the seroma?

  • It gets bigger
  • The amount of fluid continue increasing 
  • If put exercise pressure on the area of the surgery, the skin or organ 
  • It becomes too painful 
  • If shows sign of infection such as: redness, warmth or tenderness 

Infection

An infection occurs when a microorganism (bacteria, viruses or fungi) enters a person’s body and causes harm. Surgeons report that less than 1% of liposuction patients present infection.

Causes of infection

  • The presence of a haematoma in the subcutaneous tissues with secondary bacterial contamination.
  • uncontrolled or poorly controlled diabetes
  • Immune system complications
  • Smoking
  • Poor or non-sterilised conditions during the procedure
  • Poor wound care 

How to deal with infection

  • Proper wound care
  • Pre-operative tests must include blood sugar levels (especially for patients above 30 years of age or with family history of diabetes) 
  • Basic surgical principles must always be taken such as proper hand washing, sterile operating room conditions, good skin preparation and gentle tissue handling. Always look for certified surgeon.

Skin irregularities after lipo

A surface irregularity is the uneven appearance of the skin (waviness). 

Some causes are:

  • Too superficial or too much liposuction
  • Fibrosis with adhesions
  • Inappropriate compression garment or posture
  • Redundant skin.

How to deal with them:

  • Wear the proper compression garment
  • MLD may help with body contouring, fibrosis and seromas
  • Extreme cases will need another surgical procedure 

We hope this information is useful, in our next blog we will continue talking about post-lipo complications and how to take care of your wounds, don’t miss it! If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.mayoclinic.org/tests-procedures/liposuction/about/pac-20384586

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3901919/

https://www.medicalnewstoday.com/articles/196271

Seromas

Fibrosis

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Importance of wearing a compression garment after surgery https://pereaclinic.com/importance-of-wearing-a-compression-garment-after-surgery/ https://pereaclinic.com/importance-of-wearing-a-compression-garment-after-surgery/#respond Sun, 25 Jul 2021 23:53:32 +0000 https://pereaclinic.com/?p=12616 Reasons you should wear a compression garment after surgery If you have a liposuction or are planning to have a cosmetic surgery like breast augmentation, it is possible that your...

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Reasons you should wear a compression garment after surgery

If you have a liposuction or are planning to have a cosmetic surgery like breast augmentation, it is possible that your surgeon has recommended the use of a compression garment.

After surgery, your surgeon will give you all the instructions related to how to manage your recovery process. The correct use of a garment with the right compression is important for your recovery. Garments are expensive and uncomfortable to wear; therefore, invest in a good quality one for better comfort.  As experts in this field, we want to answer some of the most common questions about the importance of wearing them. and how it can impact the final results. 

What are compression garments? 

Compression garments are pieces of clothing that fit tightly your skin. They are made of an elastic fabric (lycra or latex) and cloth. It is elastic and sturdy at the same time. They apply constant and uniform pressure to the treated area. They are sized to fit the contours of your body and according to the type of surgery you have.

How long should I wear the compression garment?

It depends on the type of surgery you have and your surgeon’s recommendations. For most procedures you will be required to wear the garment for at least 4 to 6 weeks.  The compression garment must be worn 24/7 even when you sleep, you will be only allowed to take it off when you shower. It is recommended to have two garments, so you can have one for change. . Invest in a good quality garment as this influences the outcome of the surgery.

What surgeries need a compression garment to be worn?

Some of the more common surgeries are:

  • Tummy tuck surgery
  • BBL
  • Breast augmentation surgery
  • All liposuctions related treatments
  • Breast lift surgery
  • And more

Why should I wear a compression garment after surgery?

To protect your incisions

It works as one more layer to protect your healing incisions even when they are covered with surgical tape, gauze or bandages. It keeps bacteria away from the incision. Besides, it works providing padding if there is an unexpected bump in the surgery area.

It improves your circulation

Blood clots are one of the most dangerous risks after surgery. They can develop anywhere due to bad circulation. However, compression garments improve your circulation reducing the risk of blood clots. In addition, they reduce inflammation, haemorrhage and post- op pain.

It maintains your new contour

The compression garment applies pressure on the treated area, helping to ensure that your body contour heals with the desired shape.

It reduces pain

The pressure applied by the garment helps you reduce the pain or make it more bearable when you cough, laugh or sneeze.

It also helps:

  • The uniform healing of the skin.
  • It helps the skin to attach to the muscle.  
  • To reduce fibrosis. 
  • Reduce inflammation.
  • To hold the tissue in place.
  • Preventing seroma and lymphedema.
  • Reducing bruises.
  • Correcting your posture.
  • Keeping grafts in proper position.
  • Reducing fluid build-up.

What happens if you don’t wear a compression garment after liposuction?

It will affect the desired result of your surgery as the garment will help you with contouring; pain management; water retention; inflammation; blood clot and overall healing. Remember the compression garment will help you to hold the tissue together while the tissue is healing. 

How tight should your garment be after liposuction?

The garment should be tight enough to give you body contouring, and enough compression to reduce water retention and reduce inflammation. You should be able to do daily tasks without feeling too much discomfort and this can be achieved with a moderated compression garment in the first week. After the second to 3rd week, you should move to a higher compression garment for better results.

Can I sleep without my compression garment?

Yes, You will need to wear a compression garment to bed for the first four weeks.  For most procedures like tummy tucks, BBLs, lipo and body lifts, you will wear it full time for four weeks including when you sleep. You can take the garment off to go to sleep after 4 weeks.  

Remember that before wearing your compression garment, you should cover the incisions with gauze, bandages, or silicone strips to avoid any irritation. The proper use of it will lead you to the expected outcomes.

We hope this information is useful. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always glad to help. If you like this blog, please share!

 

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