Liposuction is one of the most popular cosmetic procedures worldwide, offering dramatic contouring results. However, like any surgical procedure, it carries risks and potential complications. One concern that often comes up is the risk of “lipo burns”—a form of skin injury related to the procedure.
Drawing on insights from Dr. William Miami, a leading plastic surgeon, this guide addresses the causes, risk factors, misconceptions, and treatments for lipo burns so you can feel informed and empowered.
Understanding Lipo Burns: What They Are and What Causes Them
Despite the name, a lipo burn is not caused by heat or fire. It’s actually a form of ischemic skin injury, where the blood supply to the skin is reduced or cut off due to damage during liposuction.
What Happens During Liposuction
A cannula is inserted to remove fat, which may disrupt blood vessels in the process. If this disruption significantly affects blood flow, it can lead to tissue damage—resulting in discoloration, blistering, or even necrosis if untreated.
Is Skin Pigmentation a Factor in Lipo Burns?
A common myth is that people with darker skin tones are more prone to lipo burns. This is false.
Dr. William Explains
Blood flow and vascular injury—not melanin—determine the risk of ischemia. Regardless of ethnicity, all patients have a similar risk level.
Who Is at Higher Risk for Developing Lipo Burns?
Certain factors increase your risk of ischemia and lipo burns after liposuction:
1. Smoking
Nicotine causes vasoconstriction, narrowing blood vessels and decreasing oxygen delivery to the skin. Smoking before or after surgery increases the risk of ischemic injury.
2. Low Hemoglobin Levels
Low hemoglobin means less oxygen delivery. Patients with anemia or underlying conditions should correct them before surgery.
3. Previous Liposuction or Tummy Tuck
Past surgeries may have already damaged blood vessels. Dr. William recommends waiting at least six months after a tummy tuck before performing liposuction in the same area.
Can Wearing a Faja or Waist Trainer Contribute to Lipo Burns?
Compression garments are helpful—but only when used correctly.
Dr. William Warns
Overly tight fajas or wearing a waist trainer over a faja can cause excessive pressure, restricting blood flow. This can lead to a “faja burn”, which mimics a lipo burn in appearance and severity.
Tips for Safe Compression Use:
- Follow your surgeon’s instructions on how to wear your faja
- Avoid layering compression garments
- Check skin daily for unusual redness, pain, or fluid
- Seek medical advice immediately if you notice symptoms
Are Honey Patches Effective for Treating Lipo Burns?
Honey has been used in wound care, but Dr. William does not routinely recommend honey-based products for treating lipo burns.
Why Not Honey?
Because lipo burns are ischemic injuries, treatment should focus on restoring circulation, not just antibacterial care. Always consult your surgeon before applying any topical products.
Fibrosis and Its Relationship to Lipo Burns
Fibrosis is a common concern after liposuction and involves excessive scar tissue formation under the skin.
Is Liposuction a Cure for Fibrosis?
No. In fact, multiple rounds of liposuction may increase the risk of both fibrosis and ischemia. Dr. William urges patients to be cautious when considering repeat procedures.
Key Takeaways and Final Thoughts
Understanding and preventing lipo burns is essential for safe recovery and optimal results. Here’s what you need to remember:
- Lipo burns are caused by ischemia, not melanin
- Smoking, anemia, and prior surgeries increase your risk
- Fajas should never be worn too tight or layered
- Honey patches are not a standard treatment—ask your doctor first
- Repeated liposuction can increase fibrosis and skin injury risks
Dr. William Miami encourages patient education as the first step toward a smooth, confident recovery. If you’re considering liposuction or have concerns about past procedures, consult a board-certified plastic surgeon for personalized advice.
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