Swelling after a Tummy Tuck (Abdominoplasty)

Michael A. Bogdan, MD answers: Tummy Tuck - Swelling after 4 weeks

I had a tummy tuck 4 weeks ago and I am still swolen, but I am beginning to be concerned that my stomach will not look much less than it does with the swelling. My doctor told me he would not be able to make me super flat, but he would take as much as he could. In your experience, do you think swelling is still at the extreme after 4 weeks?


Michael A. Bogdan, MD
13 months ago

After any surgical procedure, the peak of swelling is around the second or third day. Most people don't notice it, as they have other things to be concerned about. Now that you are a month out from surgery, you are feeling better, doing more activities, and are really starting to look at the result. The amount of swelling that is still around depends on how the surgery was performed (how extensive), and also yourself as an individual. I generally have my patients wear compression garments up to the fourth week after a tummy tuck, both to provide support and help "squeeze out" some of the swelling. A good way to prove to yourself that there is residual swelling is to look at your trunk a few minutes after taking off some clothing that has an elastic waist band. If you see more of an impression on the front side of your body (where the tummy tuck surgery was) than on your back, you can be certain that there is still "left over" swelling. This is a normal process, as the lymphatic system that drains fluid takes quite a long time (months) to fully heal and re-orient channels after such a major procedure.
I hope this helps!

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