The pain afterwards was horrible for about a week. I am also still swollen at four months post op. The good thing that came out of my tt is that now I have smooth, tight skin and a really nice waist line. I did it because I had a lot of loose skin and strech marks.Why am I still swollen at 4 months post op? Right after surgery my "pooch" was a lot worse, it has gotten better, but it seems to have stopped going down. I have a "pooch" now. Its hard, it feels like it is the actual muscle. It doesn't even go away when I hold in my stomach!!! Please help!!