What Is Lipo 360 and Why Does It Cause Swelling?

Steven Goldberg

— 2 min read
Side-by-side image of a woman in a faja, showing swollen vs. defined post-op Lipo 360 results.

Lipo 360 refers to liposuction performed around the entire midsection—covering the abdomen, flanks, and lower back. It often leads to noticeable swelling due to the combination of fat removal, fluid buildup, and tissue inflammation. Patients in Miami, a popular destination for the procedure, often ask: “How long until I look normal?”

Week-by-Week Healing and Swelling Timeline

Week 1:

  • Major swelling and fluid retention
  • Soreness, bruising, and a tight, stiff feeling
  • Wearing a compression garment (faja) 24/7 is essential for recovery

Week 2–3:

  • Swelling softens, but is still present
  • Pain lessens, though tenderness may linger
  • Surgeon-approved lymphatic massage may begin to help reduce swelling

Week 4–6:

  • Your shape starts becoming more visible
  • You may switch to a less tight faja or lighter compression
  • Some patients resume light workouts depending on surgeon guidance

Week 7–8:

  • About 70–80% of swelling typically resolves
  • Uneven swelling can still occur, but overall contours start to show
  • Results are forming, but not final

What’s Normal vs. What’s Not After Lipo 360

✅ Normal signs include puffiness, stiffness, minor unevenness, and mild discomfort
🚫 Concerning symptoms may include sharp pain, ongoing hard lumps, increasing redness or warmth (potential infection), or excessive asymmetry

Lipo 360 Aftercare: Tips to Reduce Swelling

  • Wear your faja as instructed—especially for the first 4–6 weeks
  • Avoid salty foods to reduce fluid retention
  • Drink plenty of water and hydrating fluids
  • Go for gentle lymphatic massages (typically 6–8 sessions)
  • Avoid strenuous activities during early recovery

When Will You See Results?

Many Miami liposuction patients begin seeing their shape at the 6–8 week mark, but full results take 3 to 6 months. Areas like the flanks and lower back tend to hold onto swelling longer.

Finding a Qualified Surgeon in Miami

Choose a provider who is:

  • Board certified by the ABPS
  • Experienced with Lipo 360 before and after transformations
  • Offering personalized post-op care, including garment fitting and massage guidance

FAQ

Can massage help the swelling go down faster?
Yes—lymphatic drainage can improve circulation and reduce retained fluid when done correctly and consistently.

Is it normal to look uneven for a few weeks?
Absolutely. Swelling doesn’t always settle evenly, and results improve with time. It’s best to wait at least 6 weeks before judging symmetry.

Do I need to wear my faja while sleeping?
Yes, especially during the early healing phase. Most surgeons recommend keeping it on around the clock for the first 4 to 6 weeks unless advised otherwise.

Sources:
RealSelf “Miami 360 Lipo” Healing Stories • ASPS Post-Liposuction Recovery Guide • AestheticMatch Post-Op Protocol Reference

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