I had an extended tummy tuck 6 months ago. Is this normal swelling? Do I need more lipo? (Photo)

Question

Hello I had a Tummy tuck, my swelling goes up and down I love my results but does it look like I need more lipo or Should I just continue to using faja & boards to compress? Im exactly 6 months post Op extended tummy tuck with lipo to flanks

Irena Karanetz, MD · Answer

Hello,
Thank you for the question and photos.
It can take up to 1 year for the final wound healing to take place after tummy tuck with liposuction.
For now, I would recommend to continue conservative management with massaging the area. Lymphatic massages can also help improve the swelling after surgery.
I would definitely discuss your questions and concerns with your Plastic Surgeon.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Sometimes is normal because with the tummy tuck is not recommend to perform intense liposuction on the belly area to avoid any scar tension. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Vasileios Vasilakis, MD, FACS · Answer

Thank you for the question. Additional liposuction several months following tummy tuck, as in most patients, will provide additional contouring because your surgeon can thin you down without fear of compromising the blood supply to the TT skin flaps (which is a restriction during every TT). Nonetheless, your result is great and your tummy tuck was a success. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Daniel Barrett, MD · Answer

Dear Herhiness007,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Richard Pecunia, MD, FACS · Answer

It looks like you’ve had a great result, but still have some swelling after surgery. While six months sounds like a long time, it can take up to 12 months and maybe even longer for a lot of the swelling and cervical change to resolve. It appears that you were a fairly sizable abdominal plasty, and that coupled with the liposuction will make your healing so much for long. I will be patient for now, it looks like you’re doing fine.

Connie Hiers, MD, FACS · Answer

Although your clothing hides some of your results, you do appear to have gotten good results. Liposuction could be done to help remove some excess fat, especially in the flank area.  An examination is needed to be sure. Go back to your surgeon and discuss your concerns and options.

Tania Medina de Garcia, MD · Answer

Hello dear! thanks to contacting us! the swelling healing process takes almost a year to be done, lot of compression it is a way to help your body with it.

Camille Cash, MD · Answer

Wow! Your results are so nice!  If you are noticing changes then there still can be residual swelling contributing to the look.  There may also be underlying fatty tissue that can be addressed with liposuction.  I encourage you to discuss your concerns with your surgeon who is most familiar with the details of your surgery and how you've been progressing through recovery.

Darryl J. Blinski, MD · Answer

Can you NOPT see the excellent results you obtained? But yes additional abdominal liposuction can offer a more flat result. Fees in $6,000 ranges.

Mats Hagstrom, MD (license on probation) · Answer

Your results look great. If you have concerns about the outcome I suggest spending some time looking at your before pictures.

Some swelling fluctuations is normal after this procedure.

Weight loss will continue to give you further improved outcomes.

Liposuction may also be an option if you desire.

Overall I would say your tummy tuck result is above average.

Best,

Mats Hagstrom MD

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