Is this normal swelling for 16 weeks post op TT? (photos)

So i workout every day since i was cleared for activity at my last appointment I spin lift and do an elliptical. I was waking up totally flat every day until the end of Oct which would have put me at 10 weeks when this swelling starting. This is what I wake up like some mornings. Other times I'll be swollen to my chest! I know it can take a long time to heal I just was wondering if this is normal or if I should try getting into my Dr sooner than my next appointment which is a month from now?

Doctor Answers 5

Swelling at 16 Weeks Post-Op

Swelling can persist for several months and will gradually improve and will look better at three months, six months, and even one year. Frequently the pubic area and the scrotal and penis area for men can become very swollen and discolored during the first two weeks due to gravity as this is the lowest area for swelling to accumulate.

It may take several months for a tummy tuck patient’s scars to soften, for sensation to return, and for relaxing of the tight sensation in the abdomen. In the case of extensive surgery, abdominoplasty recovery can be uncomfortable and may take longer. Scars may stay red, become thick or widen. It can take 12-18 months for the scars to settle.

These can be improved with topical treatments such as BioCorneum, Scar Guard, Scar Fade and Mederma. Redness can be improved with laser treatments and the scars can be kept narrow with products such as Embrace.  On occasion, keloids or hypertrophic scars can develop and will need treatment including Kenalog, 5FU and laser.

While swelling is often still likely at this point after surgery, you should not hesitate to visit your surgeon to have the area examined if you are concerned at all. Your surgeon will have the best detailed information on your case and give you the best advice. Good luck.


Orange County Plastic Surgeon
5.0 out of 5 stars 96 reviews

Is this normal swelling for 16 weeks post op TT?

I'm sorry to hear about the concerns you have after tummy tuck surgery.  As you likely know, your plastic surgeon will be your best resource for precise diagnosis...


Generally speaking, an abdominal wall "swelling" after tummy tuck may be related to:


1. Swelling in the soft tissues. This may take several months to resolve and may worsen with increased activity or at the end of the day. Patience is required to allow for resolution of the swelling. The swelling occurs because of the interruption of venous and lymphatic channels that occurs during the tummy tuck operation.


2. Fluid accumulation in the space between the skin and the abdominal wall muscle. this may consist of blood ( hematoma) or serum (seroma). This fluid accumulation can generally be diagnosed by physical examination ( occasionally ultrasound may be helpful). Treatment consists of aspiration; several episodes of aspiration may be necessary. 


3. Separation of the abdominal wall muscle repair may lead to a swelling/bulge appearance.  One of the steps of a tummy tuck procedure involves reapproximation (plication) of the rectus muscles. These muscles have spread apart during pregnancy and/or weight gain. Bringing them together again in the midline helps to “tighten” the abdominal wall as well as to narrow the waistline.

 

 

4. Residual adipose tissue may be confused for swelling. Again this is most easily diagnosed by physical examination. Additional liposuction surgery maybe necessary to improve the results of surgery.

Generally, it takes many months for swelling to resolve after tummy tuck surgery and it may take up to one year (or greater) a complete skin redraping to occur.

   

Best wishes. 

Swelling

Swelling will increase with activity and can last for a while longer. If concerned, see you surgeon. Best of luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

4 months post op. some advices:

Thank you very much for sharing your concerns with us.
At this point (4 months  post-po) the swelling has to be minimal.
To reduce it, I recommend you perform daily lymphatic drainage massage therapy over the abdomen and wear a postoperative girdle from thigh to the breasts.
Kind regards,
Dr. Emmanuel Mallol Cotes.-

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 179 reviews

Is this normal swelling for 16 weeks post op TT?

There will be a great deal of swelling after surgery, but if you feel something is not right contact your surgeon.

Kenneth Hughes, MD

Los Angeles, CA

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.