How can I get rid of swelling fat above Tummy Tuck Revision scar? (photos)

Dear Cheerful843466,
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

The answer to this is best determined with physical exam in the office. A couple of possibilities are needing further muscle repair or residual fluid. It does not look like there is excess skin.

Thank you for sharing your question and photographs. Nothing replaces an in-person examination but it appears to be more of a muscle laxity issue rather than a skin and fat issue. This is best determined with an in-person examination but further abdominal muscle tightening is likely the best course for improvement.

If you are able to pinch the area it may improve with liposuction. I encourage you to return to your surgeon for an evaluation. Since the concern seems to be persistent you may want to explore a second opinion as well.

Some general suggestions on how to address swelling above a Tummy Tuck Revision scar. It's important to consult with a healthcare professional for personalized advice, especially if you've had surgery. Here are some general tips:1.) Follow Your Surgeon's Instructions: If you've had a Tummy Tuck Revision, make sure you follow your surgeon's post-operative care instructions. They may have specific recommendations to manage swelling.2.) Compression Garments: Compression garments can help reduce swelling and provide support to the area. Make sure to wear them as recommended by your surgeon.3.) Elevate Your Legs: Elevating your legs while lying down can help reduce swelling in the abdominal area. Keep your legs elevated above the level of your heart when resting.4.) Avoid Salt: High sodium intake can contribute to swelling. Try to reduce your salt intake, as it can cause your body to retain water.5.) Stay Hydrated: Paradoxically, not drinking enough water can also lead to fluid retention. Ensure you're properly hydrated, as it can help your body process and eliminate excess fluid.6.) Light Exercise: Gentle, low-impact exercises like walking can help improve circulation and reduce swelling. However, avoid strenuous exercises until you get clearance from your surgeon.7.) Lymphatic Drainage Massage: Some people find lymphatic drainage massages helpful in reducing swelling. Consult with your surgeon or a qualified therapist before trying this.8.) Diet: A balanced diet rich in fruits, vegetables, and lean proteins can support healing and reduce inflammation. Omega-3 fatty acids (found in fish, flaxseed, and walnuts) may help with inflammation.9.) Medications: Your surgeon may prescribe or recommend over-the-counter medications like ibuprofen to manage swelling and discomfort. Follow their guidance on medication usage.10.) Patience: Swelling is a normal part of the healing process, and it can take several weeks to subside fully. Be patient and don't be too concerned if you notice some swelling in the early stages of recovery.11.) Consult Your Surgeon: If the swelling persists or worsens, or if you notice any signs of infection, contact your surgeon immediately. It's essential to have any concerns evaluated by a medical professional.Remember, your surgeon is the best source of guidance for managing swelling after a Tummy Tuck Revision. Always follow their recommendations closely and consult them about any concerns you may have during your recovery.

Abdominal bulging after a tummy tuck typically represents either insufficient muscle tightening or excess visceral fat a.k.a. intra-abdominal fat.

When the problem is visceral fat excess it typically presents with more bulging of the upper abdomen and the lower abdomen looking proportionately flatter.

An examination should help determine if your abdominal wall is flat and straight. flat abdominal wall should be a beeline between your pubic bone and your sternum. you can feel your abdominal wall in a standing position by taking one finger and gently pressing against your skin until you feel the underlying muscle wall. if it’s fairly easy to press your abdomen flat then most likely the bulging represents insufficient muscle tightening. if on the other hand it takes a bit of force to push your abdomen flat and it creates and sensation of your abdomen being full or difficulty in taking a deep breath and the bulging may represent excess visceral fat filling your abdominal cavity.

And assessment really requires an examination. The above description is a basic rundown of how I would examine and differentiate of what’s causing what.

Consider having a few in person consultations with local board-certified plastic surgeons for a more proper second opinion.

Best,

Mats Hagstrom MD