Abdomin Seems to Be Buldging out After Tummy Tuck

i had a abdominalplasty on may 4 i had to get drainage removed from my abdomin several times now it really looks like i had a very small tummy tuck

Doctor Answers 8

Bulging Abdomen After Tummy Tuck

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There are several possibilities to explain bulging in the first few months after tummy tuck. The first is normal swelling, which can take several months to go away. The second is a fluid collection (seroma), which usually needs to be repeatedly drained. A third is that the muscle repair has stretched or pulled apart or, even with an intact repair, you may have weak abdominal muscles or a thin, lax muscle covering (fascia). One last consideration is that is you are overweight, you may have a thick pad of fat below the muscles. This is not corrected with a tummy tuck but will usually respond to weight loss.

Tummy tuck Swelling?

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Thank you for the question.
As always, it is best to be seen in person ( by your plastic surgeon) for precise diagnosis and treatment.
Abdominal wall "swelling" after tummy tuck may be related to:
1. Swelling in the soft tissues.  This may take several months to resolve and may worsen with increased activity  or at the end of the day.   Patience  is required to allow for resolution of the swelling. The swelling occurs because of the interruption of venous and lymphatic channels that occurs during the tummy tuck operation.
2. Fluid accumulation in the space between the skin and the abdominal wall muscle.  this may consist of blood ( hematoma)  or serum (seroma).  This fluid accumulation can generally be diagnosed by physical examination ( occasionally ultrasound  may be helpful).  Treatment consists of aspiration;  several episodes of aspiration may be necessary. 
3. Separation of the abdominal wall muscle repair may lead to a swelling/bulge appearance. This may be diagnosed on physical examination  with your surgeon examining you in different bodily positions. One of the steps of a tummy tuck procedure involves reapproximation (plication)  of the rectus muscles.  These muscles have spread apart during pregnancy and/or weight gain. Bringing them together again in the midline helps to “tighten” the abdominal wall as well as to narrow the waistline.
4. Residual adipose tissue may be confused for swelling. Again this is most easily diagnosed by physical examination. Additional liposuction surgery maybe necessary to improve the results of surgery.
Generally, it takes many months for swelling to resolve after tummy tuck surgery and it may take up to one year  (or greater)  a complete skin redraping  to occur.
I hope this helps.

Little Change in Abdominal Shape after Tummy Tuck

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You are only two months out AND had a seroma (fluid collection) aspirated, which will mask the final result.  I recommend waiting at least six months before a final evaluation.

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Bulging after a tummy tuck

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A moderate amount of swelling is expected after a tummy tuck. Most of this swelling will subside in the first 4-6 weeks after surgery. A common complication encountered after a tummy tuck is a fluid collection called a seroma.  Signs of a seroma include bulging, a palpable mass, and a visible fluid wave.  Although most seromas are diagnosed by physical exam, some require ultrasound.  Seroma are typically treated with aspiration in the office.  Usually only one or two aspirations are required, but some patients require even more if the fluid collections persist.  Obviously, your best resource in regards to your particular issue will be the plastic surgeon who performed your intial procedure. 

Kelly Gallego, MD, FACS
Yuba City Plastic Surgeon

Issues 2.5 months following a tummy tuck

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Without any photos of your situation, we have little to go on as to your condition. Therefore, it is impossible to make any substantive recommendations.

You should contact your plastic surgeon regarding your concerns. He/she can examine you a provide an explanation of your condition.

Abdomin Seems to Be Buldging out After Tummy Tuck

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Very hard to advise without a posted photo. Best to obtain in person opinions from boarded PSs in SC. 

Abdomen still bulging after Tummy Tuck

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  This is a very difficult question to address without pictures before and after your surgery.  I would advise you to continue wearing supportive garments and allow more time for scar contracture all of the swelling to subside.  This can take up to 12 months after a tummy tuck.  Continue to keep your post operative appointments with your plastic surgeon so you can get more advice as time passess.

Erez Sternberg, MD
Jacksonville Plastic Surgeon
4.9 out of 5 stars 33 reviews

Abdominal contour improves after tummy tuck

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It may take several months for the abdominal contour to improve following a tummy tuck. During this procedure many small lymphatic channels are damaged and may take several months to heal. The result is increased swelling in the tissue above the incision and can also result in fluid collection (seroma) that requires drainage as you describe.  For some patients, it may even be necessary to reinsert a drainage tube if fluid collections persist. It would be best for you to be re-evaluated by your plastic surgeon who may recommend an ultrasound or CT scan to determine if this is merely swelling or if it is a seroma that would benefit from being drained.  

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.