Is Swollen Pubic Area After Tummy Tuck Permanent?

Thank you for the question.

Since you are only 4 weeks out of surgery some degree of swelling may explain the prominence of the pubic area.

You are correct however that for many patients undergoing tummy tuck surgery the pubic area may be an area of concern. This area may be large ( prominent) , ptotic (low), or deflated.  Therefore, I think it is important to address the pubic area when performing the tummy tuck surgery.

When planning the tummy tuck incision it is possible to keep the incision  low enough that it serves to “raise” the pubic area to some degree.  I like to plan this incision when patients are wearing the “cut” of swimming suit that they plan to wear after the surgery.

During the  tummy talk procedure the pubic area may then be “lifted” and/or defatted ( either directly or with liposuction) as  the specific patient's needs indicate.  Care is taken to avoid over thinning  the area since some coverage of the pubic area is important (for example for padding during intercourse).

Drains are often brought out through hair bearing areas.

You are also very correct in that if the pubic area is not treated during the tummy tuck procedure it may be a source of  dissatisfaction afterwards. Revisionary surgery may be necessary to treat the area.

I hope this helps.

 

A few things may be going on - It may be swelling that can last several months, but I do not think this is the issue. More likely, as the tummy tuck was done, your pubic area was lifted which is normally fuller. This can give the appearance of what you are describing.
The ways to avoid this is to perform liposuction of this area at the time of the tummy tuck. For more significant pubic fullness, a formal "monsplasty" or pubic lift/reduction may be needed. Your problem may be easily improved with liposuction, but I would recommend waiting until 6 months after the surgery so that any swelling that is there goes away.