4 Weeks Post Tummy Tuck My Pubic Area Is More Swollen Than Before. Is This Normal?

Swelling in this area is common.  With time, swelling will travel down (from the abdominal area to the pubic area) so it become more swollen before it starts getting better.  The swelling can take months to go away.  Keep in close contact with your surgeon during the recovery process.

You are correct in 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 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.

 

Swelling in the tissues in the vicinity of any operation is common.  The pubic region commonly becomes swollen after a tummy tuck and may stay that way for weeks.  Compression garments may help this along.

Edema or swelling in the pubic area is quite common at four weeks post tummy tuck surgery. It may be more evident if liposuction has been performed to contour the region. This may take a number of months to fully resolve.