Following high-definition liposuction surgery, clients are followed closely with frequent monitoring. For those undergoing HD 360 lipo, there is a mandatory overnight stay at one of our affiliated stay care locations. The very following day, clients are transported for their first lymphatic massage. This provides an excellent opportunity to examine the skin and soft tissues to ensure appropriate healing and to rule out any skin compromise areas. If any skin compromise is noted, it is treated immediately with nitropaste topically which will dilate underlying vessels and promote a surge of blood flow to the area.
For the next 10 days to 2 weeks, patients followed up either daily or every other day to complete their serial lymphatic messages and to have the opportunity to evaluate their healing progress. Starting at approximately 1 to 2 weeks, some patients may experience hyper-inflammatory fibrosis which is soft tissue firmness with corresponding overlying skin tightness. This condition arises when there is an influx of immune cells in response to soft tissue irritation caused by exposure to various heat energies. Exposed heat energies include the ultrasound waves from VASER liposuction, helium plasma from the Renuvion skin tightening, as well as mechanical energy from the back and forth motion of the liposuction cannula. These energies can result in the irritation of soft tissue cells that include the skin, fat, vessels, and nerve cells. Irritation of these cells sometimes triggers an influx of immune cells that results in a hyper-inflammatory reaction in some patients.
This immune reaction starts with the arrival of monocytes that increase swelling and then the arrival of fibroblasts, which will trigger deposits of collagen molecules resulting in internal scar tissue. This internal scar tissue is the result of hyper-inflammatory fibrosis, observed as soft tissue firmness and overlying skin tightness that is shiny in appearance. When hyper-inflammatory fibrosis happens, it can last from 2 weeks to 2 months following surgery.
When observed early, the use of Viora external radio-frequency can help to taper swelling and fibrosis faster. The external radio-frequency use with manual message allows for multiple benefits that include:
- Alleviating swelling and discomfort
- Realigning unstructured collagen deposits
- Redraping of the tightened skin
To be effective requires a minimum of 3 sessions of Viora external radio-frequency, spaced out at 1 per week. Improvement in hyper-inflammatory fibrosis is observed immediately following treatment and resolution is observed typically after the 3rd treatment.