Stage 4 of 8

Week 1 Post-Op

You've made it through the hardest days. Swelling is improving, mobility is increasing, and you're starting to feel more like yourself. Here's what to expect this week.

How You'll Feel

Week 1 brings noticeable improvements. The intense soreness of the first few days is fading, and you're moving more comfortably. Most patients say they feel "human again" by day 5-7.

Physical Changes

  • Reduced pain - most patients reduce or stop pain medication by day 5-7
  • Less swelling - still swollen, but noticeably better than day 2-3
  • Bruising evolving - changing from purple to yellow/green as it fades
  • Improved mobility - walking more naturally, less stiffness
  • Better energy - feeling less fatigued, can do light activities
  • No more drainage - incision sites should have stopped leaking by now

Emotional Improvements

  • Post-anaesthetic blues lifting
  • Feeling more optimistic about results
  • Less overwhelmed by the compression garment
  • Starting to see glimpses of your new shape

Compression Garment: Your Best Friend

By now you understand why the compression garment is so important. Here's how to maximise its benefits:

Wearing Schedule

  • Wear 24/7 for the first 4-6 weeks (only remove for brief showers)
  • After 4-6 weeks, your surgeon may allow you to remove it at night
  • Most patients wear compression for 6-8 weeks total
  • Some prefer to continue wearing it longer for comfort and support

Garment Care

  • You should have two garments so you can wash one while wearing the other
  • Hand wash with gentle soap and air dry
  • The garment should fit snugly but not painfully tight
  • As swelling reduces, it may feel looser - this is normal
  • Don't roll or fold the edges as this can create pressure points

Don't Cheat the Garment

It's tempting to take the compression garment off "just for a bit" now that you're feeling better. Don't. Inconsistent wearing can lead to uneven swelling and potentially compromise your results. Stay disciplined with wearing it.

Activity Guidelines

What You Can Do

  • Walking - walk as much as comfortable, building up distance gradually
  • Light household tasks - preparing meals, washing dishes, folding laundry
  • Showering - daily showers are usually permitted by now
  • Gentle stretching - light stretches to prevent stiffness
  • Desk work - many patients return to desk jobs this week (see below)

Still Avoid

  • No exercise - no gym, running, cycling, or sports
  • No heavy lifting - nothing over 5kg (about a bag of groceries)
  • No straining - including difficult bowel movements (use stool softeners)
  • No swimming or baths - showers only until incisions are fully healed
  • No alcohol - wait at least 2 weeks, preferably 4
  • No smoking - seriously, don't smoke during recovery

Returning to Work

Most patients with desk jobs can return to work during week 1, typically around day 5-7. Consider these factors:

You May Be Ready If:

  • You've stopped taking prescription pain medication
  • You can sit comfortably for extended periods
  • Your energy levels support a full work day
  • You have loose, comfortable clothing that hides the compression garment
  • Your job doesn't involve physical labour or heavy lifting

You Should Wait If:

  • Your job involves physical activity or heavy lifting
  • You're still taking strong pain medication
  • You don't feel mentally or physically ready
  • You're still experiencing significant drainage or discomfort

Pro Tip for Work

Wear dark, loose, stretchy clothing to hide the compression garment. High-waisted trousers or skirts work well for lower body lipo. Long, flowy tops work for upper body. You might still be slightly swollen, so plan for comfort over style.

Showering and Hygiene

By week 1, you can usually shower normally. Here's how to do it safely:

  • Remove your compression garment just before getting in the shower
  • Use lukewarm (not hot) water - heat increases swelling
  • Gently wash the treated areas with mild, unscented soap
  • Don't scrub or rub vigorously
  • Pat dry gently with a clean towel
  • Put the compression garment back on immediately while skin is still slightly damp (makes it easier)
  • Keep showers brief - 10-15 minutes maximum

Nutrition and Hydration

Good nutrition supports healing. Focus on:

What to Eat

  • Protein - chicken, fish, eggs, beans, lentils for tissue repair
  • Fruits and vegetables - vitamins and antioxidants support healing
  • Whole grains - for sustained energy and fibre
  • Healthy fats - avocado, nuts, olive oil reduce inflammation
  • Water - continue drinking 8-10 glasses daily

What to Limit

  • Excess sodium (salt) - increases swelling and water retention
  • Processed foods - poor nutritional value
  • Sugary foods - can impair healing
  • Alcohol - wait at least 2-4 weeks
  • Caffeine - dehydrating, can interfere with sleep

Monitoring Your Recovery

Track your progress and watch for any concerning changes:

Normal at Week 1

  • Visible swelling that fluctuates throughout the day
  • Yellow or green bruising
  • Numbness or tingling in treated areas
  • Firmness or lumpiness under the skin
  • Areas feeling warmer than others
  • Occasional twinges or shooting sensations (nerves healing)

Contact Your Surgeon If:

  • New onset of severe pain
  • Increasing redness, warmth, or swelling in one area
  • Fever above 38°C (100.4°F)
  • Pus or foul-smelling discharge from incisions
  • Incisions opening or separating
  • Shortness of breath or chest pain
  • Calf pain or swelling (possible blood clot)

Taking Progress Photos

Week 1 is a good time to start documenting your journey:

  • Take photos in the same location with the same lighting
  • Use the same angles and poses
  • Take them at the same time of day (swelling fluctuates)
  • Weekly photos are sufficient - daily changes are too subtle
  • These photos will be invaluable for tracking your progress over months