Bulge on top of my stomach 2 years after TT. Is it the sutures? (Photo)

Question

Had a lipo 360 TT& MR 2 years ago I'm 90 pounds I came out with a very small buldge on the top of my stomach when I pass my hand down I feel like a bump then a dent then it feels hard again but 2 yrs later it just getting very big and I feel like I'm going to snap I've had Ct scans ultrasounds and X-rays everything looks fine inside with my organs Is it the sutures? I doubt it's visceral fat, dr suggested going under again and just removing sutures and doing them again no Skin removal

Camille Cash, MD · Answer

An in person evaluation is always best but from your photos and description the likely cause of the area that concerns you is abdominal wall laxity.  In order to correct this a tummy tuck revision would be needed in order to suture the upper abdomen.  No further skin excision appears necessary.

Jason Hess, MD · Answer

In general, it appears as though there is residual or recurrent fascial laxity following prior abdominoplasty.During traditional abdominoplasty, the skin of the abdomen is lifted up to the xiphoid process approximately.  The fascia is then repaired in the midline in 2 layers.  This means that the layer over the muscle is tightening and sutured.  It appears as though the fascia is tighter in the region below the navel than above the navel.  To my knowledge, the only way to repair this is to revise the suture plication.  This involves lifting the skin from the rectus fascia and repairing the laxity.  Good luck in your upcoming revision.

Alan Gonzalez, MD, FACS · Answer

Hello @moniquecastelo, thank you for your question. It is critical to consult the doctor treating the surgical procedure. This is because he knows what type of technique he or she used and how he or she performed the procedure. Ask if a lower or total muscle tie was performed, and you will be able to clarify your doubt. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Daniel Barrett, MD · Answer

Dear moniquecastelo,
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

Connie Hiers, MD, FACS · Answer

It is possible that your muscle tightening of the upper abdomen has come loose. This is very uncommon this fat out from surgery, but it can be retightened.

Bulge on top of my stomach 2 years after TT. Is it the sutures? (Photo)

Answers (8)

Answer: Tummy tuck results

Answer: Tummy tuck results

Answer: Abdomen

Answer: Abdomen

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Everything you need to know about Tummy Tuck

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Bulge on top of my stomach 2 years after TT. Is it the sutures? (Photo)

Answers (8)

Answer: Tummy tuck results

Answer: Tummy tuck results

Answer: Abdomen

Answer: Abdomen

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Recommended reading

Everything you need to know about Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.