9 weeks post-op mini Tummy Tuck & Lipo to abdomen/ flanks, do I still have a lot of swelling or am I gaining weight back?(photo)

Thank you for the pictures. It looks like that you do have some swelling and nine weeks that you didn't have at four weeks. I would minimize my exercise and get to use your compression garment.  

Your swelling can be an indication that you are overdoing it. Is the swelling better before you work out or on the days you don't go to the gym? I encourage you to speak with your surgeon about your concerns and your work out routine. Returning to strenuous exercise more gradually may help.

Thank you for you for your question.  You have a nice result and noticeable difference for 4 weeks.  Your very
early in your recovery from Tummy tuck/ liposuction. Final results take 6-12 months. This surgery in particular leads to
swelling in the suprapubic area and lower abdomen. The swelling will take the longest amount of
time to go away, but rest assured it will flatten. You should start to
see a difference in the next few weeks.  Discuss
your concerns with your Plastic Surgeon. Best Wishes

Thank you for your question. Swelling after a tummy tuck procedure
typically decreases with every week that passes, with the majority of
the swelling gone by six weeks. Lymphatic massage during the first
couple weeks can help tremendously to accelerate the swelling reduction
process. From that point, I often tell patients
that they can go about freely to exercise or engage in strenuous
activity and lifting. Increased activity, however, may prolong how long
the  remaining swelling takes to subside. The swelling may also
be more intermittent at this stage and related to the degree of activity
in any given day. This may last between the three - six month mark. I
would visit with your plastic surgeon regularly to monitor your progress.

“Swelling” at 9 weeks after tummy tuck surgery may or may not be normal; it is best to be seen in person ( by your plastic surgeon) for precise diagnosis and treatment.   Generally speaking, abdominal wall "swelling" after tummy tuck may be related to:
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. The use of garments may be helpful,  especially as activity/exercise increases.
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 maybe 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)  for complete skin redraping  to occur.
 Again, let your plastic surgeon know about the questions/concerns you have. Best wishes.