I had abdominoplasty several months ago. After three kids, the vertical muscle was torn from breastbone to pubis. The surgeon repaired it, and removed some skin. There was not much lipo involved in that, as the fat was removed along with the skin, but there was some additional fat removed from the lower region. Some procedures may involve taking more fat from the hips etc. I wore a compression garment/girdle for several weeks, which is why I did it during cold weather. It would be uncomfortable in warm weather. There was a drain for a while, which is easier hidden in looser clothing. I could not climb stairs, life anything heavy or be very active for a while. The doctor also said do not expose the skin to sunlight or it would die (summer was coming, and she wanted to make sure I would not wear a 2 piece swimsuit). Swelling takes a while to go away, so don’t expect it to look great right away. My doctor recommends a homeopathic table, Arnicare, for the swelling. I was back at work in two weeks, feeling fine. I could have returned sooner, but still had the drain and had enough sick time to remain home.
Three months later, the skin was still a bit numb and there were some lumpy places that the doctor said would disappear over time, and advised not to apply heat because the skin was still numb and I risked burning myself. But I was impatient and was told by my family doctor that a little heat applied there would make the lumps go away faster. I applied a rice pack heated in the microwave and got third degree burns across the area. I saw a wound specialist, who planned to do a skin graft, but my original surgeon said she could do a scar revision surgery, which was essentially another tummy tuck without the muscle repair. That was done in a very short time (under local anesthesia!), is healing nicely, and I am very happy with the whole procedure. The skin is still a bit numb, but I was never really uncomfortable after the first 48 hours. The opioids prescribed for pain made me sick, and I didn’t really need them anyway.
It is recommended to lose as much weight as you can before, because it is NOT a weight loss plan. It’s too soon to tell about the limited lip I had done, but I have heard that without a change in diet, and regular exercise, fat will return.
I do plan on lipo for my back/hips/thighs in the fall (the compression garment is just too darn hot to wear in the summer), with RF to tighten the area as well.