Soft lump on abdomen wall - how can I fix this? (Photo)

Thanks for posting the after photos though a posted before photo would greatly help. I think after an in office ultrasound if it is excess layers of fat a lipo of abdomen is better option. fee $6,000. Best to virtual consult with...

Abdominal contour is made up of muscle wall, subcutaneous fat distribution and skin. sometimes the muscle wall can be different on the left and right from primary asymmetry. Contour irregularities can also come from liposuction that’s done as part of the procedure or how much the skin was advanced medically during the closure. Some plastic surgeons will make markings preoperatively of where the upper skin edge should be attached to the lower skin edge while others will determine it clinically intraoperatively. often the upper skin edge is advanced medialky (pulled towards the midline )because of how the skin drapes after undermining. Advancing the skin edges towards the midline helps avoid creating dogears and is appropriate to some degree. If this is not done equally on both sides and then asymmetry can evolve.
To assess if skin is contributing try pulling on the skin and see if it changes the contour at all.
Twist ass subtitaneous fat thickness put the skin under tension and gently twish one fingertip into your skin until you feel the underlying muscle wall. This does not require much pressure at all. it’s a gentle touch until you feel how thick the fat layer is. You can compare up and down, left and right to see if the thickness of your subcutaneous fat is consistent throughout your abdomen. The same way you test the thickness of your fat layer can be used to assess if your muscle wall is bulging more on one side or the other. simply gently pushing with one finger on the left and one on the right until you feel the muscle wall and see if they’re equal.
The asymmetry will be either in the skin, fat or muscle wall.
If this bothers you enough to have revision surgery then talk to your surgeon about treatment options.
Perhaps they can do a little liposuction on one side to even it out.
Most people have substantial asymmetry as a baseline and this often shows postoperatively and patients notice it for the first time after an operation. people typically don’t critically assess their body for asymmetry before surgery. they often do after surgery.
Follow up with your provider and have him or her Address your concerns. If you want a proper second opinion then you should schedule that as an in person consultation.
Best,
Mats Hagstrom MD