One week ago I had a full abdominalplasty, muscle repair, and lipo on the upper and lower abdomen and flanks. I feel fine and can walk up right with little pain. But the swelling! I drink water constantly but I'm still 8 pounds heavier than I was when he did the surgery! When am I going to be able to fit into my clothes again? The swelling is especially bad in the upper abdomen.
Why Do I Weigh 8 Pounds Heavier One Week Post Op?
Doctor Answers 13
Swelling one week post tummy tuck
One week post tummy tuck and liposuction surgery, it is normal for you to have significant swelling. It is important that you follow your surgeon’s post-op care instructions to ensure the best results possible. I provide my patients with an abdominal binder to wear for 4 weeks to help minimize swelling and aid in the healing process. It could take up to 4-6 months for the swelling to subside depending on your activity level. Follow-up with your plastic surgeon to rule out a seroma (fluid accumulation below the skin/subcutaneous flap).
Weight gain post tummy tuck
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Tips to help swelling
Tips to help swelling:
drink fresh water and go to the washroom regularly
cut down on salt
leisurely walk around to keep your circulation going
wear your compression garment as advised
Please talk to your surgeon if swelling is of particular concern, as they may be able to help you with advice specific to your situation. Best of luck!
Swelling Following Tummy Tuck is Very Common
It’s not unusual for patients to have significant swelling following abdominoplasty. This occurs for a variety of reasons. Patients are typically given significant amounts of I.V. fluids during their surgical procedure. In addition, the body responds to trauma or surgery by retaining fluid as a protective mechanism.
Under these circumstances. Patients can see significant weight gain from fluid retention following abdominoplasty. This weight gain typically peaks 5 to 7 days following surgery and in most cases resolves spontaneously.
In your case an eight pound weight gain would not be unanticipated following this type of procedure. If you’re anxious about this phenomena, discussion with your surgeon is appropriate. Your surgeon should be able to reassure you and make your post operative experience more comfortable.
Postop weight gain
Temporary weight gain after cosmetic surgery
It is very common to gain some weight after plastic surgery, particularly liposuction. This is temporary and should all go away once the swelling is gone. Remember that water weighs more than skin and fat. You will retain extra fluid in your tissues for several weeks which will cause your weight to be higher that what you were before surgery. You are doing the right thing by drinking a lot of water; don't stop. I suggest that you stay off of the scales for a few weeks.
Increased weight in post operative period
It is very normal to be up several pounds after having surgery. The body's response to trauma is to hold onto water. This should continue to go down as you move around more, (a few weeks). Everyone is different, and will heal at different rates. Good to stay in touch with your plastic surgeon, as sometimes patients will have a focal collection of fluid, (seroma), that might need to be addressed.
Why do I weigh more after lipo/ tummy tuck/surgery?
My girlfriend's advice after any big surgery like this is DO NOT WEIGH yourself after surgery for awhile.
You will weigh more. There are multiple reasons for this: fluid shifts from surgery, tumnescent (the stuff we inject before we do liposuction which is in your tissues), swelling, bruise, etc. You start to mobilize what we call "third spaced fluids" on post operative day 3-4, but it isn't magically gone at a week.
When will you see what you really weigh?
I tell patients to be about 80% of the way to their weight loss at 6 weeks, and all the way there at 3 months. You should lose some weight after surgery. Your surgeon can tell you how much skin and fat they removed (I weigh it in surgery.)
Be careful during the post operative time that you don't gain weight (don't starve yourself- you need energy to heal, but don't eat bon bons). It is really common to gain weight when you can't work out and are hanging out at home all day.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.