Tummy tuck incision looks to be opening and draining 3 weeks post op. Is this normal? (Photo)

The incision itself does not look to be too much of a problem.  Although this is not normal it could just be spitting stitches.  The drainage however is a major issue.  Having an opening in the wound and drainage is a set up for infection.  You need to be treated by a local plastic surgeon, which may be difficult to find. You are likely to need more than just oral antibiotics.

Thanks for your question and pic.  I recommend establishing care with a local board certified  plastic surgeon for evaluation.  You may have some "spitting sutures" that may have to be removed in the near future. Best of luck. 

I am sorry to hear about the complication you are experiencing. Superficial separation of the incision line is a known complication after tummy tuck surgery. Close follow up with your plastic surgeon will be in your best interests; sometimes removal of a exposed suture and/or removal of any unhealthy tissue will expedite healing. Otherwise, wound care regimens will differ from one plastic surgeon to another. Generally, this will involve application of some type of sterile dressing ( in my practice I use a non-stick dressing covered by a sterile dressing). You should have peace of mind that these types of wound healing problems generally go on to heal over the course of the next several weeks, without long-term sequelae. Also important to concentrate on a healthy diet, including good protein source. Occasionally, in the event of a wider scar, scar revision surgery may be helpful down the line. Best wishes.

Post operative complications such as these are the reason most qualified plastic surgeons discourage medical tourism as surgical standards are at best compromised and its practically impossible to return to your surgeon for appropriate management.  You would be best to see a fully qualified plastic surgeon for wound management.

Preforming a tummy tuck on patients with high body mass index can lead to a higher complication rate such as infection, prolonged wound healing, and wound separation. Your photos demonstrate a mild form of wound healing delay. Make sure you follow up with your PS on a regular basis.

Late complications from tummy tucks may include things such as seroma, which can cause wound breakdown and drainage of fluid such as what you are describing.  I am sorry to hear that you are experiencing a complication of surgery, but your case unfortunately illustrates why medical tourism is less than ideal.  Following tummy tuck, it is important to have close follow up with your surgeon, so that these complications can be addressed appropriately.  Seromas need to be drained to prevent problems such as wound breakdown and infection, and if your surgeon is out of country, you either should return to him (cost of travel) or you should find a plastic surgeon in your area that will help you manage the complication (but expect to pay that surgeon for helping manage the complication from another physician). I hope you get the medical attention you need and have a good recovery.  

Hello and thank you for your question. It looks fine and is not unusual at all. We're cultures taken at the ER. If so check to make sure the antibiotic they gave you is appropriate. No matter what this should settle down. If it swells gets hard or very painful you should visit either your pcp or the ER again.Peter Fisher M.D. 

Unfortunately, it looks like you've developed a cellulitis and wound dehiscense.  Although the ER physician probably gave you appropriate antibiotics, you really should be seen by a board certified plastic surgeon ASPS.  A post operative complication such as this is the reason many plastic surgeons advice against medical tourism.  Even though the surgeon who performed your surgery may have been highly qualified and did an appropriate surgery, if you develop a post operative complication there is little he can do for you, if he is far away.  Even though, there will probably an added cost to you for seeing another plastic surgeon, it is in your best interest to do so.  Best wishes, Dr. Lepore.