5 weeks post op Tummy Tuck . Upper abdomen and pubic area extremely swollen, is this normal?

At five weeks following a
tummy tuck, it is very unusual for the upper abdomen and pubic area to be
extremely swollen unless a very significant liposuction was performed at the
time of abdominoplasty. If that was the case, swelling will persist until three
months when all swelling is expected to be resolved. If you have had aggressive liposuction,
expect a certain degree of firmness and swelling in these areas. It is possible
that there could be a collection of fluid under your skin and your doctor needs
to examine you for that because that would represent a seroma and does need to
be removed. If that is not the case, expect that to be swelling from
liposuction and it should continue to improve and resolve by three months.

but you should let your surgeon know so you can be evaluated for a hematoma or fluid collection as these would need attention.  Always best to stay the course with your surgeon since your surgeon should share the same motivations you have the best outcome possible.

The short answer to your question is - yes, you can be very swollen still from your surgery.  It can take anywhere from 6-8 weeks for your swelling to subside.  Please followup with your PS to make sure you are getting adequate compression of your tummy area.  Best wishes.