Bulging tummy 7 months post surgery (tummy tuck, breast lift, liposuction)

Question

Hello dr’s I was overweight by about 15kilos when I underwent my surgery. It was a full mommy makeover. I developed a small wound necrosis which healed in 10 weeks. I was quite happy with the results till around a month ago (6 months since) when I’m noticing a bulge in my upper tummy. I feel my muscles underneath are too tight (I’m trying to do some ab exercises and finding it super difficult which wasn’t the case before) What do you think is wrong and what’s the minimum correction I need?

Leila Kasrai, MD, FRCSC · Answer

It is difficult to determine the cause of bulging in your upper mid-section without a physical examination and knowing more details about your surgery. For these reasons, it would be a good idea to return to your surgeon to discuss your concerns.

Daniel Barrett, MD · Answer

Dear Monalisa1900,
I understand your concern. Based on your photos, it looks like you have good results. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

The contour could be related to a few things.  If you were overweight prior to surgery and have not lost weight then the contour is likely from internal/visceral fat.  This is the fat located behind the muscle wall and cannot be addressed through a tummy tuck or liposuction but will decrease with weight loss.  The bulge could be related to failure of the muscle wall or excess subcutaneous fat.  I encourage you to visit with your surgeon for an evaluation.

Connie Hiers, MD, FACS · Answer

I would suggest going back to your surgeon to see how far up the muscle repair was done and if it is holding well. You did not post side views, so I cannot tell on these photos.

Mats Hagstrom, MD (license on probation) · Answer

Your problems are related to excess visceral or intra-abdominal fat.
When patients have this they will experience increased intra abdominal pressure with muscle tightening from a tummy tuck.
Weight loss is the only way to improve your outcome and the symptoms you are experiencing.
Best,
Mats Hagstrom MD

Bulging tummy 7 months post surgery (tummy tuck, breast lift, liposuction)

Answers (5)

Answer: Surgery

Answer: Surgery

Answer: Problems after tummy tuck

Answer: Problems after tummy tuck

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Everything you need to know about Mommy Makeover

Our mission is to create a world where every investment in modern beauty is Worth It.

Bulging tummy 7 months post surgery (tummy tuck, breast lift, liposuction)

Answers (5)

Answer: Surgery

Answer: Surgery

Answer: Problems after tummy tuck

Answer: Problems after tummy tuck

Browse related questions

Recommended reading

Everything you need to know about Mommy Makeover

Our mission is to create a world where every investment in modern beauty is Worth It.