Hello, and thank you for your question about pubic swelling after a tummy tuck. What you’re experiencing is very normal, especially at just 4 weeks post-op. After a tummy tuck, particularly when the mons pubis (pubic area) is lifted or contoured, it’s common for the area to appear full, puffy, or elevated during the early healing phase. This is typically caused by post-surgical swelling, inflammation, and lymphatic congestion. The body is still adjusting after surgery, and the lower abdomen and pubic region are some of the last areas to fully de-swell because gravity tends to pull fluid downward, and lymphatic flow takes time to normalize. Most patients notice significant improvement between 6 to 12 weeks, with swelling continuing to improve even up to 6 months or longer. It’s also not unusual for the mons to look slightly “high” or rounded at first due to the tension of the skin closure, which usually settles and smooths out over time. To support the healing process and reduce swelling: Wear your compression garment consistently, as advised by your surgeon Walk regularly to promote circulation Consider lymphatic massage (if cleared by your surgeon), which can be very effective Stay well-hydrated and minimize high-sodium foods If the swelling persists beyond several months, or if the fullness becomes firm or tender, your plastic surgeon should evaluate you to rule out issues like a seroma or scar tissue buildup. In rare cases, a small revision of the mons pubis may be considered — but only after a full healing period of 6–12 months. Right now, your body is still in the early healing phase, and things are likely to continue improving with time and care. You are not alone in this concern, and it’s something most tummy tuck patients experience to some degree. Wishing you a smooth and beautiful recovery ahead! Sincerely, Dr. J. Timothy Katzen, MD, MBA, FASMBS, FICS (Certified by the American Board of Plastic Surgery and President of the American Society of Bariatric Plastic Surgeons; Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery; Member of the American Society of Plastic Surgeons, American Academy of Cosmetic Surgery, and RealSelf Hall of Fame) If you’re unsure or concerned, follow up with your plastic surgeon — they can examine you in person and confirm whether everything is progressing as expected. Most pubic swelling is completely temporary and resolves beautifully over time.