Fluid may need to be drained

Scott E. Kasden, MD answers: Drainage and swelling after Smart Lipo and Tummy Tuck

I had a Tummy Tuck a week ago. The doctor did Smart Lipo and then the Tummy Tuck. I ended up with a huge incision from waist to waist, and I am actually larger in my midsection than I was pre-surgery from all the swelling. I don't see any way for the liquid to come out, I don't have any drainage. My doctor wants me to do 3 sessions of ultrasonic therapy to help my healing and drainage. I am already unhappy with the results. Is this normal? Is this worth the extra pay for the treatments? Please advise.


Scott E. Kasden, MD
10 months ago

It is not unusual for the patient to be larger than preop in the first week due to swelling.

I do not see any drain tubes - do you have any?  It must be ascertained if you have free fluid under the flap (seroma), in which case it must be drained, or you just have swelling. 

Swelling will usually resolve over time, with the assistance of compression garments, etc.

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