Cloverqueen,At the time of your diastases repair a nerve may have been irritated due to its location related to the muscle repair. When you perform certain activities with your rectus muscles, the suture might pull and irritate the area again. Try to notice if certain core muscle activities make the pain return. Other etiologies of the pain should be ruled out like a hernia, muscle strain, mesh (which it sounds like you have done). Sometimes, when nerves are inflamed, they can be injected with a local anesthetic numbing medicine to see if it helps the problem. If nerves are trapped and respond to this, they can potentially be surgically released. Elisa Stein, MD, MHACertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
Bbutterflybbb, It would be helpful to see a before picture of the area you are noting the fullness. At 4 months out from surgery, you would still not be seeing your final results due to swelling. About 60% of the swelling typically is gone at 3 months, but there will still be changes in the 6-12 month period after surgery. In my practice I would not plan a revision until that time to allow all the swelling to resolve and to allow the skin to contract after the liposuction. If a patient gains or loses weight after surgery is does affect their results. Elisa Stein, MD, MHACertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery