Why do I still get swelling two years after a tummy tuck?

Hello Loressa. Thank you for your question regarding the ongoing swelling you are experiencing two years after your tummy tuck.

Persistent swelling long after a tummy tuck can be concerning, but it’s not entirely uncommon. Several factors might contribute to this. One possibility is issues with lymphatic drainage, which can occur after surgery if the lymphatic system has been disrupted. This could result in fluid retention and prolonged swelling, especially if the lymphatic channels haven't fully recovered. Additionally, internal scar tissue from the surgery might be causing some of the swelling. Scar tissue can create a tight or bulging sensation in the abdominal area, contributing to the feeling of persistent swelling.

Your diet and activity levels could also play a role. High sodium intake, lack of exercise, or engaging in strenuous activities might exacerbate swelling. Weight fluctuations, even small ones, can affect how your abdominal tissues settle after surgery and potentially lead to swelling. It’s also worth considering that other medical conditions, such as an undiagnosed hernia or fluid retention from medications, could be contributing to the swelling.

Given these possibilities, I recommend consulting with your plastic surgeon or a medical professional to evaluate the cause of your persistent swelling. They may suggest further imaging studies or tests to determine the exact cause and recommend appropriate treatment options, such as lymphatic massage, compression garments, or even revisional surgery if necessary.

I hope this helps answer your question regarding persistent swelling after a tummy tuck.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

At 2 years after surgery, swelling related to a tummy tuck is unusual. It would be a good idea to see your surgeon for an assessment, as it may not actually be swelling but perhaps residual fat or other issue.

At two years post op you are at your final results and no swelling is expected. The swelling you are experiencing is not likely related to your surgery. I encourage you to visit with your primary care physician to discuss your concerns.