Recovery time, questions on removal of excess skin/fat from groin area.

Question

I recently had skin/fat removed from my groin above my penis. 3 weeks now after surgery the area remains very firm - and the swelling is going to have to go down a lot for the surgery to be a success (I had wanted to basically uncover the portion of my penis hidden by the pooch). After having the stitches removed - my erection is noticeably shorter than before. I also seem to have a harder time getting/maintaining erections. What about swelling would cause this? Will it heal over time?

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding recovery after skin and fat removal from your groin area. It's normal to be concerned about the firmness and swelling you're experiencing just three weeks post-surgery. In this region, recovery can take longer due to the abundance of lymphatic vessels, which help drain fluid but can also slow the healing process.

Typically, it takes about 6 to 8 weeks for swelling in the groin area to subside. Since you're only three weeks into your recovery, you can expect more reduction in swelling over the next several weeks. Wearing a compression garment is essential to minimize swelling and support proper healing. It’s too early to determine final results, as the firmness and swelling you're feeling are part of the natural recovery process.

As for the changes you're noticing with your erections, this is likely due to the swelling and tissue firmness compressing or affecting the surrounding structures. Once the swelling decreases, your erection length and ability to maintain erections should return to normal. However, if these symptoms persist beyond the healing period, I recommend following up with your surgeon.

I hope this helps answer your questions and reassures you that your recovery is progressing as expected.

Sincerely,
Dr. Katzen

Kevin Small, MD · Answer

Male patients can have penile swelling for several weeks after a lower body lift.  Typically, 50% of the swelling dissipates after 3 weeks, 80% of the swelling dissipates over 6 weeks, and the remainder of the swelling dissipates over the next 3-6 months.  Final results may not be appreciated until a year after surgery. Scrotal support with elevation and supportive garments can significantly improve the swelling.  Heat and massage can help with unwanted bruising in the area and help with secondary swelling.  Erectile dysfunction should improve as the swelling dissipates.

Recovery time, questions on removal of excess skin/fat from groin area.

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Recovery time, questions on removal of excess skin/fat from groin area.

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