Why Are my Legs Swollen Weeks After Tummy Tuck?

Persistent lower extremity swelling is unusual following
abdominoplasty surgery and should be investigated vigorously whenever it
occurs. Although it’s not unusual for patients to retain fluid in the immediate
post-operative period, this usually resolves in the first 2 weeks following
surgery.Late
swelling following abdominoplasty can occur for a variety of reasons. Many of
these causes are potentially serious and could represent life threatening conditions.
For these reasons it’s important to determine the cause of this problem as soon
as possible.This
type of swelling can be caused by deep venous thrombosis of the lower
extremities. This problem can occur following surgery and involves the formation
of blood clots in the lower extremity veins. These blood clots have the
potential to break free and go to the lungs where they can cause life
threatening situations.This
type of swelling can be related to lower extremity lymphedema. This diagnosis
can result in chronic disability and the need for lymphatic massage. This may
be related to disruption of the normal lymphatic channels during surgery.In some
cases, this type of swelling may be unrelated to surgery. This type of swelling
could be related to congestive heart failure. In some cases, drugs that are
used to manage hypertension such as amylodipine can cause peripheral swelling.When
lower extremity swelling occurs late in the post-operative period, it should be
investigated aggressively. The treatment will depend entirely upon the
causative factors. It’s therefore important to consult your plastic surgeon as
soon as possible.

Dear Crystal E,

Thank you for reaching out. Swelling after a tummy tuck, also known as abdominoplasty, is a common occurrence and can persist for several weeks to months as your body continues to heal and adjust.

While it's normal to experience swelling in the abdominal area following surgery, swelling in the legs, particularly the upper thighs, may be less common but can occur for several reasons:

Fluid Redistribution: During surgery, fluids are often administered intravenously to maintain hydration and manage blood pressure. After the procedure, your body may redistribute these fluids, leading to swelling in other areas, including the legs.

Limited Mobility: After surgery, patients often have reduced mobility and may spend more time resting or lying down. Prolonged periods of immobility can contribute to fluid accumulation in the lower extremities, leading to swelling.

Lymphatic System Disruption: Surgery can temporarily disrupt the normal function of the lymphatic system, which plays a crucial role in fluid balance and immune function. Swelling in the legs may occur if the lymphatic system is temporarily impaired.

Medication Side Effects: Certain medications prescribed after surgery, such as pain relievers or antibiotics, can cause side effects, including swelling or fluid retention.

Regarding your concern about hair loss, it's essential to discuss any unusual symptoms or changes with your healthcare provider, as they can provide personalized guidance and address your concerns appropriately.

I recommend contacting your plastic surgeon to discuss your symptoms and receive further evaluation. They can assess your condition, provide recommendations for managing swelling, and address any potential concerns about hair loss.

Best wishes for your continued recovery,

Dr. Katzen
Plastic Surgeon

I recommend you see your surgeon as soon as you can regarding the swelling in your legs. Have you been leisurely walking around during your recovery? This can help ease the swelling and keep your circulation going. Swelling increases when you aren't active and lie around in bed all day.