7 Rules to Help Reduce Swelling After Abdominoplasty Surgery

Swelling is a normal and expected part of recovery after abdominoplasty (tummy tuck) surgery. It usually affects not only the incision line but also the entire abdominal region. If liposuction is performed at the same time, swelling may be more noticeable.

While swelling can be uncomfortable, there are evidence-based strategies that can support your healing and help manage it effectively.

Disclaimer: Operation performed by Dr Bernard Beldholm. Adult content, surgery has risks; individual results vary, seek 2nd opinion. Please see the full disclaimer.

Why Does Swelling Occur After Abdominoplasty?

Swelling is part of the body’s natural healing response. It occurs as tissues repair and recover following surgery. Common reasons include:

  • Normal post-surgical inflammation
    After surgery, the body activates its healing response. Specialised cells move to the area to repair tissue, which naturally causes swelling.
  • Bruising
    Some small blood vessels may be affected during surgery. When blood leaks into the surrounding tissues, this can cause bruising and contribute to swelling.
  • Temporary impact on the lymphatic system
    The lymphatic vessels help drain excess fluid from tissues. If they are affected during surgery, fluid may build up, leading to swelling. The body usually adapts over time.

Lymphatic massage can sometimes be used in the early recovery phase to help support fluid drainage, though this should only be performed if recommended by your surgeon.

How Long Does Swelling Last?

  • Swelling is most noticeable in the first few weeks after surgery.
  • Around 60% of swelling reduces by 3 months.
  • At 6 months, about 80% of swelling has usually resolved.
  • Residual swelling can continue to settle between 12–18 months.

Most patients find swelling is more prominent in the lower abdomen.

7 Strategies to Help Manage Swelling After Abdominoplasty

1. Prioritise Rest

Adequate sleep gives your body time to repair and regenerate. Growth hormones released during deep sleep play a key role in tissue healing. Poor rest can slow the recovery process.

While rest is important, it is also essential to maintain gentle mobility (see point 2).

2. Incorporate Gentle Movement

Specialist surgeons often recommend light walking soon after surgery. Short walks around the house can:

  • Support blood circulation
  • Lower the risk of blood clots
  • Help reduce swelling

Avoid strenuous exercise or lifting heavy objects until cleared by your surgeon. Elevating your legs while lying down may also help reduce fluid build-up in the lower body.

3. Limit Sodium (Salt) Intake

Excess sodium in the diet can cause water retention and bloating. Reducing salt intake supports healing and may help reduce abdominal swelling. Choose fresh, unprocessed foods and season meals lightly.

4. Wear Your Compression Garment

A medical-grade compression garment applies gentle, even pressure to the surgical area, which can:

  • Reduce swelling and bruising
  • Support wound healing
  • Provide comfort
  • Assist with skin retraction in some cases

Most patients are advised to wear their garment for at least 4–6 weeks, although some may need longer depending on the extent of surgery. Always follow your surgeon’s specific instructions.

5. Maintain a Healthy Diet and Stay Hydrated

A balanced diet provides the nutrients needed for tissue repair. Key elements include:

  • Protein – for wound healing and scar repair
  • Vitamins A & C, zinc and iron – to support immune function and recovery
  • Whole grains, vegetables, and lean proteins – for sustained energy

Staying well hydrated is equally important. Adequate water intake helps blood deliver oxygen and nutrients to the surgical site. Dehydration may slow recovery and prolong swelling.

6. Take Medication Only as Prescribed

Anti-inflammatory medications may be recommended to help with pain and swelling. However, some medicines can increase bleeding risk if taken too early. Only use the medications prescribed or approved by your surgeon, and never self-medicate without guidance.

7. Consider Lymphatic Massage (If Recommended)

Lymphatic drainage massage is a specialised technique designed to encourage fluid movement in the tissues. When appropriate, your surgeon may suggest this as part of your recovery plan. It should only be performed by a trained professional and under your surgeon’s guidance.

Follow-Up Care is Essential

Attending your scheduled post-operative appointments allows your surgeon to:

  • Monitor your healing
  • Adjust your care plan if needed
  • Provide advice on garment wear and activity levels
  • Address any concerns you may have

Always follow your surgeon’s instructions closely, as every patient’s recovery journey is unique.

Key Takeaway

Swelling after abdominoplasty (tummy tuck) is a normal part of recovery. While it cannot be completely avoided, these seven strategies can support healing and help reduce discomfort over time. With rest, good nutrition, appropriate activity, and ongoing follow-up care, swelling usually improves gradually in the months after surgery.

References

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