Internal Bleed After Full TT, Lipo, MR. 2 Wks PO and Still Super Hard, Swollen. Normal? (photo)

I am 5'5, 123lbs and a size 2. I had a full TT w/lipo, muscle repair 13 days ago. At my post op my PS said I had a bleed during surgery on my left side where the lipo was performed which is why it is really swollen, hard as a rock, painful & has redness that is working it's way downward. I feel fine besides the pain from the bleed but was told it would take longer to recover. Idea's on how long? The redness has subsided but the swelling & hardness has not changed. Will scar go down on L side?

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hard swollen 5 ft 4 in to 5 ft 7 in 2 weeks post-op 110-129 lbs bleeding internal

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5 Doctor Answers | Asked by shazaam333 in Minneapolis, MN

Doctor Answers (5)
Community Comments (1)

Lump from hematoma will heal faster and give better result if it is evacuated.

Your surgeon is certainly aware of the collection of blood within your tissues, and the location you have marked (thanks for including photos) seems to correspond to the hip roll area liposuctioned rather than beneath the abdominoplasty skin flaps. Since liposuction creates tunnels and tracts within your fatty tissues, bleeding in this area creates a stiuation much like a saturated sponge, rather than a blood-filled cavity. In other words, this can act more like a "black... more

Hematoma After A Tummy Tuck And Liposuction

Dear Shazaam333, Hematomas after liposuction are possible, but not very common. Your photos and descriptions are consistent with a hematoma on your left side. It is very difficult to aspirate a liposuction hematoma right after surgery and if it is not expanding (and yours wasn't) conservative management is warranted. However, you are now almost 2 weeks after surgery and many hematomas will have liquified by now and aspiration with a... more

Bleeding and hematoma after tummy tuck

Bleeding is very uncommon with liposuction and tummy tuck, though if the tissues are very swollen and tight, drainage is often the key to helping the tissue sofen and heal faster. Your surgeon migh wish to start with an ultrasound to see what lies under the skin, and if the area can be drained the pain will rapidly improve as well.

Internal Bleed After Full TT, Lipo, MR. 2 Wks PO and Still Super Hard, Swollen. Normal?

Sorry for the issue. I might ask for a scan to see if the "blood" is in an amount that would require operative removal. Otherwise try external ultrasound therapy. Please follow up with us

Internal Bleed After Full TT, Lipo, MR. 2 Wks PO and Still Super Hard, Swollen. Normal?

The hematoma from the liposuction certainly seems to be the cause of your current findings. It is not uncommon to have those finding after a hematoma, and in that regard may be considered the norm. If it is still feeling so hard, it may be a consideration for your surgeon to give you a little local anesthetic and put a needle into the area. It would not be unheard of to have a fluid collection, that if aspirated will resolve, in part, the problem. The use of warm compresses... more

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Comments (1)

shazaam333 29 Jul 2012

My hematoma is getting better and better every week and my PS is just letting it runs it course as he does with all of his patients. They had me see my FP doc to have some tests done to be sure no infections or anything and all results came back negative. The difference from the pics I posted at 2 weeks PO compared to now which is 3 weeks PO are very reassuring. I'm healing well and confident that the hematoma will continue getting better and better everyday. I thank you all for your responses.

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