Hello, thank you for your question regarding the fact the fact that you are 19 days post op from a panniculectomy with regrets and how soon can you get your paniculecomty fixed and whether you are still swollen? Most plastic surgeons would agree that it is too early to consider a panniculectomy revision. You are too swollen, and everything is still healing from your panniculectomy. It is too early to determine the final shape of your belly button, abdomen, and back rolls. Since you had surgery on your umbilicus (belly button), you did not have just a panniculectomy. A panniculectomy is the removal of the hanging abdominal pannus. You had some additional abdominal surgery beyond a panniculectomy. Perhaps you had an abdominoplasty (tummy tuck)? Every plastic surgeon has their own post-operative instructions. Your post-operative instructive may be appropriate for your panniculectomy surgery. You need to check with your panniculectomy plastic surgeon regarding how to care for your panniculectomy incisions. Typically, most plastic surgeons wait until all incisions have healed and the swelling has resolved before considering a panniculectomy or tummy tuck revision. Most plastic surgeons wait at least 4 to 6 months before considering a panniculectomy or a tummy tuck revision. Good luck. I hope I have answered your questions: you are 19 days post-op from a panniculectomy with regrets; how soon can you get your panniculectomy fixed? Are you still swollen? Most plastic surgeons offer free virtual or in-office physical consultations. Therefore, explore what other plastic surgeons have to say. If you have any more questions about a panniculectomy, tummy tuck, abdominoplasty, or abdominal liposuction, contact an experienced plastic surgeon. Since the tummy tuck surgery is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience in performing panniculectomies and tummy tucks. Do your research. If you cannot find an experienced plastic surgeon for a panniculectomy or tummy tuck in your neighborhood, consider traveling out of state. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS. ( Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)