Compression is not optional! It is essential.
After Lipedema Reduction Surgery, compression therapy is one of the most critical factors in ensuring proper healing, maintaining results, and preventing complications. At Lipedema Surgical Solutions, we consider compression therapy as vital as the surgery itself. Whether you’re just beginning your surgical journey or navigating your recovery, understanding when, how, and why to use compression garments will empower you to take an active role in your healing process.
Why Compression Matters So Much
Lipedema causes abnormal fat deposits and inflammation that disrupt lymphatic flow and result in fluid buildup, pain, and swelling. Liposuction can remove fibrotic fat, but compression is the tool that helps your body reset and adapt after surgery.
Properly fitted and consistently worn compression garments help:
- Reduce and manage post-surgical swelling (edema)
- Improve lymphatic drainage
- Minimize complications such as lobules, fibrosis, and fluid accumulation
- Encourage skin retraction, helping your body reshape and adjust to its new contours
- Protect and preserve surgical results for the long term
Skipping compression, or wearing it incorrectly, can jeopardize your results and delay your recovery. That’s why we put so much emphasis on getting this right.
Compression Timeline: When and How Long to Wear It
Before Surgery
You’ll begin wearing compression garments even before your procedure. This pre-op compression phase helps ensure:
- Your garments fit correctly and comfortably
- You’re used to the feel and use of compression
- You’ll be compliant with post-op requirements
- We can avoid complications that arise from ill-fitting or poorly tolerated garments
Wearing compression garments beforehand also gives your skin and lymphatic system a head start in adjusting to the changes that come after surgery.
After Surgery
Immediately after your procedure, our nursing team will apply your first set of compression garments. You’ll go home in these garments and continue wearing them around the clock for at least 2 months, or as directed by your care team.
- Your first shower will typically be 24 to 48 hours after surgery.
- You will be taught how to remove and reapply your garments safely and correctly.
We may recommend transitioning to higher compression levels or adding secondary compression layers as you heal.
Area-Specific Compression Recommendations
Different parts of the body require different compression strategies. Below is a breakdown of what to expect based on your surgical site:
Thighs, Hips, and Buttocks
- Compression Level: 20–30 mmHg
- Garment Guidance:
- Pull garments fully up to the groin crease several times per day.
- Do not allow bunching—bunched fabric acts like a tourniquet and can cause tissue damage or bulging.
- Always start pulling from the feet and work upward to ensure even compression.
Critical Note: Failure to pull the garment fully into the crease can lead to fluid buildup and the development of lobules that may become permanent.
Calves and Ankles
- Post-op Compression Range: 20–30 mmHg to 30–40 mmHg
- Goal: Transition to 30–40 mmHg compression a few weeks post-op.
- Garments will extend from toes to the bra line for full leg compression and consistent lymphatic support.
Arms
- Garments Required:
- One full-arm compression vest
- One set of compression sleeves
- Compression gloves may be needed for the first 1–2 weeks, depending on your level of post-op swelling.
- Ensure sleeves are pulled fully into the armpit crease to avoid fluid pooling or bulging.
Pro Tip: Raise your arm while putting on your garment to achieve a smoother, more comfortable fit.
Abdomen and Flanks
- Compression Type: Full-body suit that includes abdominal coverage.
- Pay attention to the lower abdomen, which should be lifted and compressed upward with each garment reapplication. This repositioning must be done every time you go to the bathroom or adjust your garment.
- Some patients benefit from double compression, which may include:
- A supportive compression brief
- Spanx-style garment layered over your base garment for added support and improved contouring
Tips for Compression Success
- Be consistent: Wear your compression exactly as directed. No breaks unless approved.
- Adjust regularly: Garments can shift. Make sure they are snug, smooth, and fully in place throughout the day.
- Clean garments daily: Clean garments reduce infection risk and extend their life. Hand-wash and air dry or follow manufacturer guidelines.
- Replace when needed: Compression garments lose elasticity over time. If your garment feels looser or less effective, it may be time for a replacement.
- Practice makes perfect: Getting used to putting them on and off takes time. Don’t get discouraged—our team will teach you how.
Compression Compliance: Why It’s Non-Negotiable
Wearing your compression garments incorrectly—or not at all—can lead to serious complications, including:
- Prolonged swelling
- Skin irregularities
- Delayed wound healing
- Development of lobules (pockets of fluid or tissue)
- Poor surgical outcomes
We’ve seen firsthand how consistent compression leads to smoother recoveries, faster results, and happier patients. We are here to help you succeed—not just in surgery, but in the long-term management of your lipedema.
Our Role in Your Lipedema Journey
At Lipedema Surgical Solutions, we do more than recommend compression. We walk you through every step of it. Our team will:
- Help you select the right compression garments
- Provide in-person guidance on how to wear, wash, and adjust them
- Monitor fit and function during post-operative check-ins
- Answer your questions as they arise
We’re committed to helping you feel supported, not overwhelmed. Compression should empower your recovery, not add stress.
Have Questions About Compression Therapy?
Whether you’re pre-op, post-op, or just exploring your options, our team is ready to provide personalized guidance and support. Compression is a critical part of your lipedema journey—and we’re with you every step of the way. Contact us today to learn more about approved compression garments, order recommendations, or to schedule your next follow-up.
Read More: What Happens During the Lipedema Reduction Surgery Pre-Op Appointment?
