Since lymphatic vessels are damaged or removed during liposuction or tummy tucks, how can swelling ever fully subside?

The lymphatics are damaged during any surgery but new channels are re-established as long as you have an abundant lymphatic system present before surgery. I always evaluate if there is any deceased or damaged lymphatics in the area before having the patient undergo any procedure. The great thing is that diet, lymphatic massages and proper compression along with taking anti-inflammatory agents pot-operative ly can all help to reduce swelling and help the lymphatics re-establish itself more quickly. May your healing process be a quick recovery!

The lymphatic channels repair/regrow over time allowing the fluid that normally leaks into the tissue (lymph) to be removed through the reestablished channels. This process can clinically take 6 to 12 months before you notice that you don't swell anymore.

In truth, this same thing happens with many surgeries including c-sections.  Damage to the lymphatic vessels is less common after liposuction than a tummy tuck, but the body has a great way of healing itself and the swelling does indeed eventually subside except possibly in an extremely rare instance, just ask the millions of women who have had c-sections.  Thanks for your question and best of luck should you decide to pursue surgery!