Experiencing major upper abdomen swelling - what can I do? (photos)

Dear nellie84,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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

Thank you for your question regarding a distended upper abdomen with major upper abdominal swelling six months after a tummy tuck. It is not uncommon to experience upper abdominal swelling after a tummy tuck procedure, which can be caused by a number of factors.

During the surgery, excess skin and fat are removed from the lower abdomen, and the abdominal muscles are tightened to achieve a smoother, flatter appearance. However, this tightening can lead to fluid buildup in the upper abdomen, resulting in swelling and discomfort.

The use of a compression garment after the surgery can also contribute to upper abdominal swelling. While it is necessary to wear a compression garment to provide support and reduce swelling, it can sometimes cause fluid to shift upwards, leading to swelling in the upper abdomen.

To address upper abdominal swelling after a tummy tuck, it is important to follow the postoperative instructions provided by your surgeon, which may include wearing a compression garment, taking prescribed medications, and avoiding strenuous activities and heavy lifting.

While most cases of upper abdominal swelling will resolve on their own within a few weeks to months after the surgery, if the swelling persists or is accompanied by other symptoms such as pain or fever, it is important to contact your surgeon to rule out any potential complications.

Given that your tummy tuck was performed six months ago, it is unlikely that you have a seroma. However, other factors such as muscle weakness or loosening of the rectus sutures may be contributing to the distended upper abdomen. I would recommend an ultrasound or CT scan to rule out fluid collection or other underlying issues.

If a fluid collection is present, drainage may be necessary. If the issue is due to muscle weakness, muscle plication with more permanent sutures may be required. In cases where weak fascia is preventing the achievement of a flatter abdominal profile, the placement of mesh may be considered.

I hope this information has been helpful. Please do not hesitate to contact your surgeon if you have any further concerns or questions. Wishing you the best of luck with your recovery.

Sincerely,
Dr. Katzen

An examination is needed to determine the nature of the upper abdomen contour. It could be related to dietary reactions, as you mentioned. It could also be muscle repair that has failed, or internal fat. Your surgeon should be able to provide more information after an evaluation.