Abdominoplasty, often called a tummy tuck, is a surgical procedure that removes excess abdominal skin and can repair underlying muscles. It is frequently considered by patients after pregnancy, significant weight changes, or when the abdominal wall has weakened over time.
While abdominoplasty can restore comfort and function, the recovery journey brings expected side effects — most commonly bruising and swelling. These changes are a natural part of healing. Knowing what to expect, why they occur, and how to care for yourself can help make recovery more manageable.
Why Does Bruising Occur?
Bruising happens when tiny blood vessels under the skin are disrupted during surgery. The blood that collects in surrounding tissues causes visible discolouration. It usually changes from red or purple to green or yellow as the body reabsorbs it.
Factors that influence bruising include:
Surgical technique – lifting skin and tightening muscles will always affect small vessels.
Individual variation – genetics, age, skin type, and overall health can determine how much bruising appears.
Medical conditions or medicines – clotting disorders, hypertension, or use of blood-thinning medications and supplements can increase bruising.
Combination procedures – adding liposuction to abdominoplasty may cause more extensive bruising.
What About Swelling?
Swelling occurs as part of the body’s natural inflammatory response. Fluid collects in the tissues around the surgical site, creating puffiness and a feeling of tightness.
Typical timeline:
Week 1: Swelling is usually at its peak.
Weeks 2–4: Gradually decreases, though it may fluctuate during the day.
Weeks 6–12: Continued improvement, with most swelling resolved.
Up to 12 months: Subtle swelling in the lower abdomen may persist.
Evidence-Based Strategies to Support Recovery
Follow Your Recovery Plan
Every patient receives detailed instructions from their surgeon. These cover wound care, activity levels, garment use, and medications. Following these guidelines is one of the most effective ways to support safe healing.
Wear Your Compression Garment
Compression garments are usually worn for 4–6 weeks. They help reduce fluid build-up, support the healing tissues, and encourage the skin to settle smoothly.
Avoid Blood-Thinning Substances
Certain medications and supplements, such as aspirin, anti-inflammatories, fish oil, and vitamin E, can affect clotting. Always disclose what you are taking before surgery and only resume after checking with your surgeon or GP.
Use Cold Compresses (First 48 Hours)
Cold therapy can reduce early inflammation. Apply short intervals of 15–20 minutes, always wrapped in cloth — never directly on the skin or incision.
Elevate and Rest
Sleeping in a slightly reclined position reduces pressure on the abdomen. Gentle movement, like short walks, also helps circulation and prevents blood clots.
Avoid Smoking and Alcohol
Both can slow healing and increase the risk of complications. Patients are usually advised to avoid smoking for several weeks before and after surgery, and to limit alcohol during recovery.
When to Seek Review
Bruising and swelling are expected, but contact your surgeon promptly if you notice:
Rapid or expanding bruising that feels firm or painful
Redness, warmth, or discharge from incisions
Fever or chills
Shortness of breath or sudden leg swelling
These may indicate complications that need urgent medical attention.
Recovery in Perth’s Climate
In Western Australia, warm and dry conditions can increase fluid loss and swelling. Staying hydrated, avoiding direct heat, and wearing breathable clothing can make recovery more comfortable.
Final Thoughts
Bruising and swelling after tummy tuck surgery are temporary but an important part of recovery. Understanding the process, following medical advice, and knowing when to seek review helps patients feel more prepared for the weeks ahead.
For personalised information, patients should discuss their individual health and recovery plan during a consultation with their Specialist Plastic Surgeon.