It was a early Friday morning when I got a call from a nurse requesting a urgent home visit for a patient. "The doctor wants you to do manual lymph drainage immediately," the nurse said. Unfortunately, the address was outside my usual service area. I initially declined the appointment request. Later in the afternoon, I got another call. This time, it was the patient herself. She was in frantic emotional distress. She explained that she was very swollen and was experiencing intense pain. Also, there was no therapist in her area that specializes in post surgical recovery. She plead with me that if I didn't help her, she would have no one. I reluctantly accepted the appointment. As I sat in my car, experiencing the bumper-to-bumper traffic of the 405-fwy at its prime time of 6pm, my regret intensified. After 2 long hours, I finally arrived to the patient's home. I rang the doorbell. The patient's house keeper let me in through the front door. I entered the home. I was standing at the bottom of the stairs. The patient, standing at the top of the stairs, saw me and happily exclaimed, "OMG, I am SO happy you made it!". She then flung open her bathrobe, "I need you to fix this! I am so swollen!" She looks down at her vagina and sure enough it was very swollen.
After we did the manual lymphatic drainage, I asked the patient to show me her post-surgical compression garment. She went to her bathroom and came back with a small piece of black silky lingerie. "That is not a compression garment", I told her. "Where is the garment your surgeon gave you?" She looked at me and said, "oh no, I can't wear that! It is too tight and uncomfortable!".
Post-surgical advice: Wearing post-surgical compression garment is the key to a successful recovery. It helps control swelling and assist in tissue repair. The patient above got 360 liposuction to her abdomen, flanks, and back. Fluid is heavy and will pool downwards. Because she did not wear the post-surgical compression garment, all the swelling pooled downwards to her vagina. To fix the vaginal swelling, I had the patient resume wearing the compression garment, along with putting thick lipo-foam padding directly on the mons pubis. The foam padding provided extra localized compression to the mons, which will help the body reabsorb fluid.
If you've had liposuction to the torso and also experiencing swelling of the vagina, you can purchase lipo-foam on amazon. Simply place a piece of foam directly on the mons, under your compression garment. It works every time!