Abdomen Distended 27 Days After Mommy Makeover (Tummy Tuck with Lipo)

From the limited view here, it appears your fullness in intraabdominal and not subcutaneous. Possible causes of this include fluid retention, constipation/bloating, poor muscle tone, ascites (rare), visceral adipose tissue deposits. Discuss these with your surgeon. Frequently, I find that this improves with diet, probiotics, ambulation, and core strengthening when permitted by your surgeon.

         It’s not unusual for
patients to experience significant swelling following abdominoplasty. This
swelling typically 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.

 

         In some cases,
abdominal distension may be related to other causes. One possible cause is
seroma formation. Seromas are collections of fluid that accumulate beneath the
skin. They usually require drainage which results in significant improvement in
symptoms. Occasionally, this problem may be related to continued weakness of
the underlying abdominal muscles and secondary surgery may be necessary to
address this issue.

 

         When persistent
swelling is present, consultation with your surgeon is important. Your surgeon
should be able to evaluate you and make an appropriate recommendation. In most
cases 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. 

I would recommend returing to your plastic surgeon to make sure that your healing process is going okay and that nothing is wrong with the insides of your belly.