Why Your Abdomen Can Still Feel Swollen a Year After Tummy Tuck or Liposuction
One of the most common things I hear from women is this:
“I’m a year out from surgery… why does my stomach still feel swollen?”
If that’s you, let me gently reassure you—you’re not doing anything wrong, and you’re not alone.
Even one year (or more) after a tummy tuck or liposuction, it’s very common for the abdomen to still feel slightly puffy, tight, or swollen, especially by the end of the day. You may notice your stomach looks flatter in the morning and more swollen after sitting, traveling, working out, or being on your feet for long periods of time.
That doesn’t mean your surgery didn’t work.
It usually means your lymphatic system is still healing.
Why swelling can linger long after surgery
Tummy tuck and liposuction are major procedures that significantly disrupt the lymphatic system. While incisions heal on the surface, lymphatic vessels take much longer to reroute and function efficiently again—especially in the abdomen.
Over time, things like scar tissue, inflammation, hormonal shifts, dehydration, stress, and daily lifestyle demands can slow lymph flow. When lymph isn’t moving the way it should, fluid can quietly build up in the tissue, creating that familiar swollen or “puffy” feeling.
This is especially noticeable in the abdomen because it’s a central drainage area for the body.
How lymphatic drainage massage helps—even years later
Lymphatic drainage massage isn’t only about early recovery. Yes, the initial post-op phase is important—but healing doesn’t stop there.
Gentle, skilled lymphatic work helps encourage proper fluid movement, supports tissue health, and assists your body in clearing inflammation that can otherwise linger long-term. When lymph is flowing well, the abdomen feels lighter, softer, and more comfortable—and many women notice their shape looks more consistent throughout the day.
This work supports your body in doing what it’s designed to do, especially after surgery has temporarily changed the landscape.
Why monthly lymphatic drainage matters after the first phase
Most women complete their initial series of post-op lymphatic sessions within the first month after surgery. After that, monthly lymphatic drainage becomes an incredibly effective way to maintain results.
Think of it as ongoing support—not because something is wrong, but because your body went through something significant.
Monthly sessions help:
Prevent fluid buildup before it becomes noticeable
Keep tissue mobile and responsive
Reduce inflammation from exercise, travel, or long days
Support long-term comfort and confidence in your body
Consistency matters. Women who stay on a maintenance schedule often tell me they feel the difference when they skip a month—and how much better they feel when they return.
Meet Monica Skalsky
I’m Monica Skalsky, a licensed massage therapist (CAMTC #33056), CMT, MLD-C with over 30 years of experience and a deep focus on post-operative lymphatic drainage massage. I’ve spent decades working with the body—clinically, therapeutically, and compassionately—and in recent years, much of my work has centered around supporting women through cosmetic surgery recovery. Alongside my clinical practice, I have served as a massage therapy instructor at the National Holistic Institute and American Career College, bringing real-world post-operative and therapeutic experience into the classroom.
I’m the founder of Wrthit, as well as Balanced Pro Massage, Peaches by Wrthit, and I also teach and mentor massage therapists through my education platform, Massage Business Academy. Everything I do is rooted in helping people heal fully—not just quickly—and in honoring how much care the body truly needs after surgery.
I believe recovery is not a straight line, and I meet women wherever they are in that process.
Wrthit Is Here for You—Every Step of Your Recovery
Wrthit is a Southern California–based practice dedicated exclusively to post-surgical lymphatic drainage massage. We provide professional, in-home care designed to support both early recovery and long-term healing after cosmetic procedures like tummy tuck and liposuction. Wrthit is trusted by women throughout Southern California, with 30+ five-star Google reviews reflecting long-term client care and results.
Wrthit currently serves clients in the following areas:
and surrounding cities
Each session is tailored to your stage of healing—whether you’re weeks out, months out, or years into your recovery.
Frequently Asked Questions
When does the swelling finally go away?
Swelling doesn’t follow a strict timeline. For many women, mild abdominal swelling can come and go for a year or longer after surgery. Factors like scar tissue, lymphatic congestion, activity level, hormones, and stress all play a role. With consistent lymphatic drainage massage and proper self-care, most women notice swelling becomes less frequent, less intense, and easier to manage over time.
Can I still purchase a 10-session package from Wrthit?
Yes. Many women choose to purchase a 10-session package even well after surgery—especially if swelling has returned or healing feels stalled. These sessions can be used consistently or spaced out based on your needs and goals, and they’re an excellent option if you’re ready to recommit to your recovery.
You don’t have to navigate recovery alone
Healing doesn’t end after a few months—and neither does support. Whether you’re newly post-op or years into your journey, Wrthit is here for you. Your body has carried you through so much, and it deserves ongoing care, patience, and respect.
When you’re ready—whether that’s now or later—we’re here to support you through every phase of your recovery.