Hello, and thank you for your question regarding post-operative swelling following a lower body lift. Based on your history and photos, it is entirely normal—and expected—to experience swelling in your thighs following a 360 circumferential lower body lift. Swelling is a natural part of the healing process, especially in the early weeks post-surgery. Typically, swelling in the thighs resolves by around two months post-op. If swelling persists beyond that timeframe, it may require additional attention. Prolonged swelling, or lymphedema, can occasionally occur after procedures like this, though permanent lymphedema is rare. In such cases, treatments like lymphatic massage, diuretics (such as Lasix), and compression garments can help reduce swelling. In your current situation, being only five days post-op, the swelling is entirely within the expected range for healing. However, if you notice sudden swelling, particularly in one leg, it is critical to contact your plastic surgeon immediately. Sudden swelling could indicate a rare but serious issue, such as a blood clot, which needs urgent evaluation. Good luck with your recovery, and I hope this helps to reassure you! Sincerely, Dr. Katzen