I am 5 weeks post-op from a full TT and upset with my results. Is this really just swelling, or are these my results? (photos)

Compare with before pictures.  You have no wound separation, a big chunk of your excess skin and fat are gone, your scar is low and short, and your waist more narrow than before surgery.  Your belly looks fit in the four weeks post photo.  Lymphatic drainage of hypogastrium is disrupted by abdominoplasty.  Reconstitution of this drainage takes time, and skin below belly button will be swollen for months.  Your surgeon chose shorter scar and tucked you in from the sides which contributes to central fullness below belly button.  This can be treated later by suction or office revision if you wish, but a very long scar can never be shortened or erased.  Your surgeon appears to have done a nice job in my opinion.

It is still a bit early to panic but talking with your board certified plastic surgeon is a good idea to share your concerns. Your incision length look more like a mini or modified abdominoplasty. Seroma is the number one thing to rule out. You may benefit from revisionary surgery but time will tell. Good Luck!

You are very early in your journey of healing after an abdominoplasty - which is a significant undertaking indeed.  You should continue to follow your doctor's advice and regular follow-up appointments.  You will likely see final contour results at 6 months; however, the scars will improve for longer.

Thank you for allowing me to answer your question. At 5 weeks it is too early to judge the final result from an abdominoplasty. You appear to have a lot of improvement in the contour of your abdomen but if you feel you have asymmetrical swelling it could represent a seroma. I would follow the advice of your surgeon regarding any instructions for scar massage and postop compression garments. I would try to be patient and give it at least another 2 months before considering any revisions as the scar color and contour of your abdomen will continue to improve with time.

Not seeing complete results at 5 weeks is both frustrating and unavoidable. Your body has undergone a dramatic change. This is especially obvious when looking at the presumed position of your muscles before and after surgery.  It is very likely that you have a great deal of swelling and it is very likely that this will get better in time. The scar will improve as well and the bunching is a product of your surgeon making an effort to improve your waistline which, in comparing your pre and postop photos, looks to have been accomplished.In other words. . .It still truly is very early in your process. If there is no evidence of a complication, it is worth giving it another 6-12 weeks and expecting slow but progressive resolution of your issues.