Hello, and thank you for your question regarding swelling after your lower body lift. Swelling is a normal part of the recovery process after a lower body lift. However, persistent swelling at four months post-op is less typical and may indicate that your lymphatic channels—which can be disrupted during surgery—are still healing. This can cause fluid retention and the sensation of tightness or discomfort near your scars. The good news is that swelling often resolves with time and appropriate management. Here are some steps you can take to help reduce swelling: Compression Garments: Wearing medical-grade compression garments can help mobilize fluid and reduce swelling. Ensure that your garments are prescribed and fitted by your surgeon to avoid obstructing lymphatic flow. Avoid purchasing generic compression garments online, as they may not be suitable for your condition. Leg Elevation: Elevating your legs while resting can help promote lymphatic drainage. Keep your feet elevated above your heart, with your knees straight or slightly bent, to allow fluid from your lower extremities to flow back toward your groin lymph nodes and into circulation. Lymphatic Massage: Consider getting lymphatic drainage massage two to three times per week for at least six weeks. These specialized massages can stimulate lymphatic flow and reduce fluid retention. Many trained lymphatic massage therapists can be found locally through a quick search online. Lymphedema Specialist: If swelling persists despite these measures, consult a lymphedema specialist. They can provide targeted therapies to help mobilize fluid more effectively. Medications: In some cases, your doctor may prescribe a diuretic such as Lasix (furosemide) to help reduce fluid retention. Only take diuretics under the supervision of your surgeon or primary care physician. Dietary Changes: Avoid consuming salt and MSG, as these can worsen fluid retention. Focus on a balanced diet that supports healing. In most cases, swelling will continue to improve over time and resolve completely within the first year post-op. However, if the swelling persists or worsens, it’s essential to follow up with your surgeon to rule out complications such as lymphedema, which is a rare but possible long-term issue. Good luck, and I hope this helps answer your question regarding swelling after your lower body lift. Sincerely, Dr. Katzen