23 days post op Tummy tuck and I look 5 months pregnant!! Hard swelling around incision down to pubic mound. (photo)

Thank you very much for sharing your concerns with us.At this point (3 weeks post-po) the swelling have to be minimal.To reduce it, I recommend you perform daily lymphatic drainage massage therapy over the abdomen and wear a postoperative girdle from thigh to the breasts.Kind regards,Dr. Emmanuel Mallol Cotes.-

It is normal to have swelling in the lower part of your abdomen near the incision. Sometimes patients can have fluid it old blood underneath which contributes as well. This can be drained in the office if your surgeon feels there is enough to remove

It is not possible to make a diagnosis on photographs.  See your surgeon and get checked to rule out any fluid buildups in your abdomen.

You may have a fluid collection under the skin. Notify your plastic surgeon for an evaluation in person. 

Swelling is normal following a tummy tuck and can persist for some time.  Your surgeon should be able to tell you if this is normal swelling or if there is some other reason for what you are experiencing.  As always, you should consult with your surgeon and discuss your concerns.