If the pubic region appears higher versus swollen / larger is an important distinction. The pubic region is often tightened / lifted after an abdominoplasty, and this is frequently desired as the area is often sagging before surgery. However, if it is lifted too much, the resulting scar position may be high and visible in some types of undergarments / bathing suits.
A discussion of the postoperative scar position is very important between the plastic surgeon and patient so there are no surprises. Also, there are several technical things that can be done in the preoperative staging and surgically that can place the scar in the desired position.
If there is swelling of this area in the early postoperative period, this can be normal as the fluid generally goes to the most depndent area which is the pubic region. If there is persistence, then a seroma (retained fluid collection) or excess fat in this area may need to be addressed. These issues are best dealt with by the operating surgeon.
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