I had a extended tummy tuck with breast lift/augmentation and lipo on my flanks. Overall I am thrilled with the results especially since the 'before' was so bad. My lower abdomen though is concerning me. I look 3 months pregnant. I expect swelling, but it seems so centered right at my lower abdomen. It is a little better in the morning (as I would expect with swelling) but never goes away. My Dr. does not place drains, so I'm trying not to get upset, but does this look like normal swelling?
10 Days Post Op Mommy Makeover. Lower Abdomen Swelling? (photo)
Doctor Answers 16
Mommy Makeover and Post Operative Swelling
It is not unusual to have lower abdominal swelling 10 days after a mommy makeover with a tummy tuck. However, you may have developed a collection of fluid or blood (seroma or hematoma). Check with your surgeon to see if they would suggest draining off the fluid if it is present. But don't worry, even if you need to have the fluid drained it is a relatively easy procedure. Best wishes.
10 Days Post Abdominoplasty - Do I Have A Seroma Or Is This Swelling Normal?
As I read your question, you are asking, do you have a seroma, a hematoma, or is this swelling normal? The answer to this question requires an in person physical exam, and possibly even placing a needle or better, a seromacath, to test if there is any fluid present in your lower abdominal area. This question needs to be posed to your plastic surgeon.
All that being said, it sure looks like a seroma to me, and if you were my patient, I would place a seromacath for a day or two to get rid of the problem quickly before it becomes chronic. If I were you, I would contact my plastic surgeon sooner rather than later.
Swelling vs. Fluid after Tummy Tuck
Your doctor may have used "progressive tension" sutures which help close down the space where fluid accumulates, minimizing the need for drains.
It is possible that you may a small collection of blood or lympatic fluid. I would recommend evaluation by your plastic surgeon to ensure this is not the case.
I wish you a safe and healthy recovery.
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Drains would likely have helped, follow up to relieve possible seroma.
After the drains are removed, seroma fluid can continue to develop for a limited period of time.In most cases, the body resorbs this fluid before it can develop into a seroma.In some cases, this fluid accumulates faster than the body’s capacity to resorb it.When this occurs, seroma formation can result.This occurs more frequently when patients are physically active.
Once a seroma forms, serial percutaneous aspiration with a needle and syringe is necessary.If this continues, percutaneous CT-guided drain placement may be necessary.In rare cases, placing a sclerosing agent into the seroma cavity may be necessary to prevent seroma formation.
Although most seromas don’t represent a significant problem, they should be removed.Seroma removal helps decrease the potential for infection and wound breakdown. It also makes recovery a more comfortable experience.The vast majority of seromas have resolved in six weeks, but occasionally they persist for longer periods of time.Clinically, significant seromas can usually be felt on physical exam, lesser amounts of seroma may be present in most patients, but these don’t require treatment.
10 Days Post Op Mommy Makeover. Lower Abdomen Swelling?
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Mommy Makeovers Require Close Follow-up With Your Plastic Surgeon For Optimal Results
Swelling can be very normal 10 days following a tummy-tuck, especially if accompanied by liposuction. Compression is helpful. Close follow-up with physical examination with your Plastic Surgeon is essential to make sure that it is nothing more serious such as a seroma or hematoma. Best of luck. Dr. Lyos
Swelling after Tummy Tuck?
Congratulations on having undergone the breast and abdominoplasty surgery. Based on your concerns and picture, you will be much better served by following up with your plastic surgeon for direct examination, diagnosis, and treatment recommendations. Ant fluid accumulation can easily be diagnosed and treated.
Lower abdomen swelling 10 days post-op abdominoplasty
It is very difficult to tell from the photo alone. Swelling at 10 days after a procedure such as tummy tuck can be normal. However, without an actual evaluation such a call is not possible. It would be highly recommended to see your surgeon if you have not done so already. If it is a fluid collection, it can be drained safely in the office. The sooner the fluid is drained, if there is fluid, the better the chance of a favorable outcome.
Swelling After Mommy Makeover
At only 10 days it is impossible to predict the final results of your surgery. The swelling and bruising that you are experiencing are normal reactions to surgery. Be patient and do not worry; it will take at least 6 weeks before the majority of the swelling subsides and you can accurately gauge your results. Not all doctors use drains so do not worry about that. If you have any concerns be sure to follow up with your doctor.
Jaime Perez, MD
Mommy Makeover Specialist
Plastic Surgery Center of Tampa
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.