Thank you for your question regarding how long does swelling last after a panniculectomy. This is a great question. Every patient is different and swelling after a panniculectomy is highly variable. However, on average, 90% of the swelling will be gone 4 weeks after a panniculectomy. After approximately 12 weeks after a panniculectomy, almost all of the swelling should be gone. During the healing after a panniculectomy, there will be days where you are more swollen; this is typically, due to increased activity and circulation. However, all the swelling after a panniculectomy eventually goes down. Compression and lymphatic massages with help to decrease swelling after a panniculectomy. I hope that I have answered your question regarding swelling after a panniculectomy. I specialize in reconstructive plastic surgery after weight loss. If you have any more questions regarding the panniculectomy, tummy tuck, extended tummy tuck, high lateral tension tummy tuck, abdominoplasty, lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy, please contact my office. Since the panniculectomy or extended tummy tuck are big procedures, please seek an experienced, board certified plastic surgeon with significant experience performing the panniculectomy or extended tummy tuck. Do your research. Make sure they have performed at least 100 panniculectomies or extended tummy tuck surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, panniculectomy or extended tummy tuck surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, 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 and RealSelf Hall of Fame.)