Liposuction is one of the most commonly performed procedures in cosmetic surgery. A cannula is inserted into the area that requires fat removal and then, using a back and forth motion, the fat is removed through tubing that is connected to a suction machine. The procedure is very safe, but you should expect that postoperatively, the area will be swollen and bruised and will feel hard and lumpy. This is absolutely normal, and you have to be very patient, because the symptoms are not going to resolve within a day. It takes six to nine months for everything to go back to normal. It also means that you are not going to see a great result the first morning; the progression of the symptoms will slowly subside in six to nine months. There are certain things that we can do to help eliminate the lumpiness, bumpiness, and hardness in certain areas. First, I recommend doing lymphatic massages. Lymphatic massage is not just like any other massage. In this type of massage, fluid is squeezed in the direction of the lymphatic system to minimize swelling and at the same time break up the hard and lumpy areas. In addition, wearing a tighter girdle will help diminish the amount of inflammation, scar formation, lumpiness, and bumpiness that can occur. Ultimately, if there is an area that is very hard and is not progressing as anticipated, I recommend injecting Kenalog. Kenalog is a steroid that can be injected specifically into the areas that are affected. I use a small needle and inject 2 to 3 cc of Kenalog combined with lidocaine, which is an anesthetic. Finally, the main treatment for lumpiness and hardness is patience. You need to be extremely patient for all these symptoms to resolve. Even with massage, Kenalog injection, girdles, and inflammatory agents, you have to let your body heal. Many patients want to see results right away, but we can only expedite the recovery to some extent; your body must heal properly.