Bulging Lower Abdomen After Tummy Tuck

Thanks for your question -
It depends a bit on what your surgery involved and when you started noticing the bulge.
Abdominal contour is dependent on:
Skin envelope
Abdominal fat (subcutaneous and intrabdominal)
Muscles tightness
Intrinsic Swelling
Fluid collections
Skin Envelope -
People complaining of "abdominal bulge" after tummy tuck typically do not have issues with too much skin - that points to issues underneath the skin.
Abdominal fat -
This can be an issue in people who may be a little bit over their ideal body weight at the time of abdominoplasty. Ways to fix this include the tried and true diet and exercise or liposuction. Be sure to allow enough time between tummy tuck and liposuction to minimize complications.
Muscle tightness -
Muscles plication (or tightening) is usually a part of abdominoplasty. Either failure of the sutures or some laxity can cause a bulge. If the change in your contour was sudden or if you felt a pop - think about the plication having ruptured.
Swelling -
This can be the most common cause of contour issues post-abdominoplasty. Patients typically have swelling for two reasons. First surgery causes trauma and the body's response to trauma is to bring additional fluid into the area that has been traumatized. In addition, abdominoplasty involves dividing lymphatic channels (very very small conduits that normally pull fluid out of tissue) - until these channels grow back the area will not be able to remove excess fluid.
It is usually the most dependent (lowest) part of the surgery that stays swollen the longest.
Fluid collections -
Seromas (serous fluid collections) or hematomas (collections of old blood) can cause distortions of contour. Normally this will improve on its own but may require drainage.
I hope this helps.

Thank you for your question.After your #tummytuck surgery, #swelling can persist for several months and will gradually improve and will look better at three months, six months, and even one year. Frequently the pubic area can become very swollen and discolored during the first two weeks due to gravity as this is the lowest area for swelling to accumulate.If you have concerns, contact your #BoardCertified #PlasticSurgeon.

It’s not unusual for patients to complain of fullness and
swelling for several months following abdominoplasty. The wound healing process
following this procedure lasts for over a year. Most of the swelling resolves
in six to eight weeks, but small amounts of swelling may persist for up to a
year. The procedure inevitably interrupts the abdominal lymphatic drainage and
this takes time to re-establish itself. Patients
can minimize swelling with compression garments, massage and limitations on
activity levels. It’s important to remember that swelling is a normal part of
wound healing and should resolve with time.