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Tummy Tuck - Swelling After 4 Weeks

Swelling can take some time to resolve. The swelling comes from a combination of issues including edema (fluid) in your soft tissues as your body heals, as well as the fact that the surgery itself has interrupted the small lymphatic channels that return fluid from your body. Until these heal fully, you may notice some puffiness. Swelling is also usually worse towards the incision.

Clinical Context

By four weeks, most of the fluid your body produced right after surgery has started to resolve, but tissues that were operated on can still hold extra fluid while new drainage pathways rebuild. This often shows up as puffiness, especially near incisions. A seroma is different: it feels like a distinct soft pocket in one spot rather than general fullness. New redness, warmth, or worsening pain aren't part of normal healing swelling and are worth mentioning to your surgeon.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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