Bumps, Lumps and Roping After Smart Lipo: Is this normal?

I understand your concern about the appearance of your arms, given that you are 6 weeks out. There is much time needed before you know your final outcome however. That being said, you are doing everything that you can be doing; this early in the healing process, massage is the best thing you can be doing for yourself.

Lumps & bumps early on are usually healing tissue in the area treated. The best way to think about it if if you accidentally cut yourself, you are left with dried blood and a scab. Eventually the scab will fall off after healing and being exposed to the outside environment. Now most of us accidentally or purposely pick off the scab. Unfortunately, inside our bodies we can't do that; the scab needs to naturally dissolve which takes time.

Skin in the underarm (as well as inner thighs) is quite thin. When performing liposuction in this area, less is more. It is best to purposely leave a rim of fat underneath the skin to avoid divots/lumpiness in the appearance.

Many of the procedures you mentioned (Triactive etc...) can help the appearance but only after you have completely healed. There can also be areas of small residual fat pockets that can be re-treated as well.

The thin skin in the upper arms and inner thighs make these areas very risky for liposuction compared to other areas of the body where the skin is thicker and more elastic. These two areas should be approached with a very conservative procedure consequently (or not done at all if the skin is too loose). Massage and time are your best allies now that the surgery has already been done. The other treatments probably won't make it any better than massage, time and mother nature. You won't know what your final result will be like until the 4-6 month mark. Good luck with it.