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.

Your case demonstrates the PS trying to "short cut" the length of the needed incision. Thius the excess fat and skin that is seen in the posted photos... 

Thank you for the pictures.The results can take time to appear, up to 12 weeks to be more certain. It does seem like a lot of swelling is present. Lymphatic massages are recommendable to help the swelling go down much faster.Dr. Campos

It is very difficult to judge your result at this point.  It could be swelling or a seroma fluid collection.  It would help to review pre-operative photos as well.  Give it at least 6 months if your skin remains loose then you may consider a revision.  You plastic surgeon is in the best possible position to understand your anatomy and judge the result of your surgery.  

Don't give up. Swelling is normal and the final result takes 3 to 6 months. Ask your surgeon about silicone gel or paper tape for scar treatment. See link below

Thank you for the question and pictures.  Although it is not possible to give you definitive information or reassurance online, hopefully it will be helpful to you to know that the types of concerns that you are having after tummy tuck surgery are not unusual  at your stage in recovery.  Again, although I cannot reassure you that you will be pleased with the outcome of surgery some general thoughts regarding postoperative swelling after tummy tuck surgery may be helpful to you: 
1. Swelling in the soft tissues.  This may take several months to resolve and may worsen with increased activity  or at the end of the day.   Patience  is required to allow for resolution of the swelling. The swelling occurs because of the interruption of venous and lymphatic channels that occurs during the tummy tuck operation.
2. Fluid accumulation in the space between the skin and the abdominal wall muscle.  This may consist of blood ( hematoma)  or serum (seroma).  This fluid accumulation can generally be diagnosed by physical examination ( occasionally ultrasound  may be helpful).  Treatment consists of aspiration;  several episodes of aspiration may be necessary. 
3. Separation of the abdominal wall muscle repair may lead to a swelling/bulge appearance. This may be diagnosed on physical examination  with your surgeon examining you in different bodily positions. One of the steps of a tummy tuck procedure involves reapproximation (plication)  of the rectus muscles.  These muscles have spread apart during pregnancy and/or weight gain. Bringing them together again in the midline helps to “tighten” the abdominal wall as well as to narrow the waistline.
4. Residual adipose tissue may be confused for swelling. Again this is most easily diagnosed by physical examination. Additional liposuction surgery  or skin  excision may be necessary to improve the results of surgery.
Generally, it takes many months for swelling to resolve after tummy tuck surgery and it may take up to one year  (or greater)  a complete skin redraping  to occur.
I hope this helps.