Why is my pubic area swollen 10 months post op? (photo)

Question

It been 10 month since my TT, my pubic area is not flat and swells up significantly through out the day and becomes more numb

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and I am sorry that your current results have not been what you anticipated.  It is difficult without an in-person examination to determine what may be taking place. In most cases this is persistent swelling which can take time to resolve spontaneously. This typically follows the waxing and waning appearance changes during the day that you describe.   It is important, however, to ensure that other issues are not taking place - a discrete fluid collection or residual adipose tissue.  Since your surgeon knows the full details of your operation, they are in the best position to provide you with a diagnosis and treatment option.  Best wishes.

Thomas P. Sterry, MD · Answer

This certainly could be a swelling problem, but I'd start looking for something more significant at this point.  Has your surgeon seen you for the problem?  It seems as though you might need either a fluid collection drained, or a little bit of liposuction in that zone to flatten the area.The blog I wrote a few years ago covers swelling, and it might be worth you having a look at the video I attached.Good Luck!

Daniel Barrett, MD · Answer

Dear xena11583,I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

John Paul Tutela, MD · Answer

Thanks so much for reaching out. It may take 12 to 18 months for all of your swelling to resolve. If after that much time and you still have a bulge in your lower abdomen you may benefit from Liposuction to decrease any remaining fatty tissue. Sometimes the  abdominal musculature needs to be re-stitched.I hope this helps :-)

David Shifrin, MD · Answer

Sorry your dealing with swelling. I’ve seen it happen for up to a year. If it’s still present at that point you may benefit from liposuction of that area. In any case, discussing with your surgeon is the best current approach.Cheers

Camille Cash, MD · Answer

At ten months post op your swelling should have resolved.  Visit with your surgeon for an evaluation and discussion of your concerns.  You may benefit from some liposuction to improve the contour.

Curtis Wong, MD · Answer

are not terribly common, but if it fluctuates from flat in the morning to full in the afternoon, it's still related to swelling that resolves when you're flat on your back.  If it is constant and unchanging, your surgeon should be evaluating your for possible fluid collection or the possible need for further liposuction of that area if found to be on the thicker side.

Tom J. Pousti, MD · Answer

Online consultants will not be your best resource when it comes to questions such as causation of pubic area swelling. Much will depend on your starting physical examination and what was done during your procedure. My best advice: follow up with your plastic surgeon for in person evaluation. If, in the longer term, you remain concerned, revisionary surgery (likely involving additional skin removal plus/minus liposuction surgery) may be necessary to improve your outcome. Best wishes.

Mennen T. Gallas, MD · Answer

Thank you for your question and photos. Without an in person examination it is not possible to determine the cause of the swelling as the day progresses. However, you do want to allow a complete 12-18 months for swelling to resolve. I suggest that you follow up with you plastic surgeon to discuss possible cause and solutions.Best of luck,

Pravin Reddy, MD · Answer

Pubic swelling may result from liposuction of the mind pubis or undermining (elevating the fat and skin) of the mons pubis.  In either case, maintaining compression is the best solution although this may take many months to resolve.  I would consult with your surgeon for further recommendations.

Why is my pubic area swollen 10 months post op? (photo)

Answers (13)

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