4 weeks after Lipo and still in pain and tightness, are these my final results or am I still swollen?

You are probably still swollen which can take 3-6 months to resolve. I do recommend adding RF treatments externally like venus legacy, exilis ultra, Vanquish, shock/vibration therapy like Cellutone/z wave, hyperbaric oxygen and compression in order to decrease swelling and improve results. Best, Dr. Emer

At four weeks out you are still likely very swollen. It can take 4-6 months for the majority of swelling to disappear. 

Following liposuction it takes time for fluid to be absorbed and swelling and bruising to decrease.  Typically it takes 3-6 months to realize your final result.  Wearing the compression garment, as you are, will help to reduce swelling and fluid collection and to improve contour. Typically I ask my patients to wear the garment 24/7 for 6 weeks.  At four weeks post op, you are still bruised and swollen and some of this will resolve.  It is difficult to discuss loss of inches, as there is no standardized way to measure this.  Typically liposuction is measured in cc's, which is a volume measure.  Your surgeon should be able to tell you how much was removed during your procedure.One of the down sides of liposuction is that it doesn't address loose skin. Similar to after pregnancy, some woman have thick, elastic skin that will shrink down with weight loss or liposuction.  Others have thinner skin that doesn't fully recover.  Stretch marks form when skin is stretched beyond its ability to recover.  The presence of stretch marks on your abdomen, and the loose skin above and below your belly button suggest that you will not likely get much skin tightening following this procedure.  The best way to address the loose redundant skin is with a formal tummy tuck (abdominoplasty).  Speak to your surgeon about your concerns. Good luck!

Thank you for your question. You are still in early phase of healing. it will take upto 4-5 months to see results and swelling to go down. It is not a bad idea to consider skin tightening treatments like venus legacy. Please talk to your PS and express your concerns 

Thank you for your question.  It typically takes between 3 and 6 months for all of the swelling from any procedure, especially liposuction, to completely resolve.  That being said, you have a significant amount of excess skin above and below your belly button as well as stretch marks.  You appeared to be a very good candidate for a tummy Tuck to eliminate this excess skin and completely flatten the abdomen.  This excess skin will not tighten on its own.  I recommend consulting with one or more board certified plastic surgeons to discuss your options.  Best wishes!