Male Tummy Tuck side effects on male private part? Swelling, color change, etc?

Hello, and thank you for your question regarding side effects of a male tummy tuck, particularly in relation to swelling or discoloration of the penis. Thank you for your detailed history and for addressing a topic that is important yet often under-discussed.

After a tummy tuck — especially following massive weight loss like your 100-pound transformation — it’s very common for male patients to experience temporary swelling and color changes in the penis and scrotum. This can include bruising (black-and-blue discoloration), puffiness, or a feeling of heaviness. These effects typically peak within the first 3 to 5 days after surgery and gradually resolve over the next 2 to 4 weeks, although some minor swelling may persist longer.

The reason this happens is due to:

Gravity: Fluid naturally drains downward from the surgical site into dependent areas like the penis and scrotum.

Lymphatic disruption: A tummy tuck involves removing skin and fat, which temporarily disrupts lymphatic drainage pathways.

Post-op compression: Swelling can sometimes be exaggerated if the compression garment fits too snugly or shifts during movement.

The good news is that this swelling and color change is temporary and expected. It is not harmful and does not indicate damage to the genitalia. Gentle walking, elevation when resting, and wearing your post-operative garment properly can all help minimize this issue.

As for scar placement, in male patients, the incision is typically made low across the pubic area, similar to female tummy tucks, but the position may be slightly adjusted based on body habitus, skin excess, and hair-bearing areas. Placing the scar too low can potentially pull on the pubic region, which may cause the pubic area and genitalia to shift slightly downward if not carefully planned. An experienced surgeon will take this into consideration and tailor the scar placement for both aesthetic and functional results.

To avoid complications and ensure optimal outcomes, choose a board-certified plastic surgeon with experience performing tummy tucks in male patients, particularly after major weight loss. They will understand how to manage swelling, scar placement, and preserve proper pubic contour and penile support.

Thank you again for your question — it’s one that many men silently wonder about, and it’s great that you’re doing your research. You’re on the right track toward a confident, informed surgical journey.

Sincerely,
Dr. J. Timothy Katzen, MD, MBA, FASMBS, FICS

Because males have thicker skin than females, they are at greater risk for bleeding during and after their TT. The risk of developing a hematoma is higher for men than women. As gravity pulls the hematoma down, the penis may be discolored for a few days. The scar is placed so low that bikini briefs may be worn.
Choosing a board certified plastic surgeon with experience performing male TTs is the best way to make sure you are happy with the outcome. It is important that you follow his or her pre- and post-operative instructions carefully.

Anyone male or female that has a tummy tuck or especially liposuction of the abdomen can have some swelling or bruising in the genitals post op. This is normal and is caused by simple gravity and has little or no discomfort. It is all gone within a few days. I do put men's TT scars a bit higher so it does not look like a bikini line. Consult with surgeons who you like their before and after photos. Good luck.