Hello dmac, Thank you for reaching out regarding your concerns about upper abdominal swelling following your tummy tuck surgery. It's understandable to have questions about changes in your body during the recovery process. Swelling in the upper abdominal area several months after a tummy tuck can be attributed to various factors, including residual fluid accumulation, tissue healing, or even the presence of excess fat. While some degree of swelling is normal during the initial stages of recovery, persistent swelling may warrant further evaluation by your plastic surgeon. I recommend scheduling a follow-up appointment with your plastic surgeon to have the area assessed. Your surgeon will be able to determine the cause of the swelling and recommend appropriate treatment options. In some cases, liposuction may be a viable option to address any residual fat deposits contributing to the swelling. It's essential to communicate openly with your surgeon about your concerns and discuss your treatment goals. Your surgeon can provide personalized guidance based on your unique situation and help determine the best course of action moving forward. In the meantime, continue to follow your surgeon's post-operative instructions, including any recommended lifestyle modifications or compression garment wear, to support the healing process. I understand that dealing with persistent swelling can be frustrating, but rest assured that your surgeon is there to support you every step of the way. I wish you the best of luck with your recovery journey and achieving your desired results. Take care, Dr. Katzen