Hard lump under incision? Could it be scar tissue? Should it be going away by 3 months?

Hi! thanks for your question. A hard lump under the incision after a tummy tuck is common and is often scar tissue or a healing-related issue like a seroma. At three months, it's normal for scar tissue to feel firm but it usually softens over time, which can take up to a year.
Since it's not painful, it likely isn't a serious concern. Gentle massage and monitoring for any changes are recommended. If the lump persists or worsens, consult your surgeon for potential treatments like injections or silicone therapy. Always follow up with your surgeon to ensure proper healing.

Hello! Thank you for your question.
The lump in the pubic region is scar tissue and inflammation, often associated with absorbing sutures deeper under the tissue. This is often more notable in this area because of the hair follicles in the pubic region which house inflammatory cells, so there is gently more inflammation in this area. The other possibility is that it is a lymph node helping the area heal. Three months is a normal time to see this. It typically takes around 4 months for the early phase of wound healing to end. I recommend you massage this area well in the shower for several minutes to help smooth lumps. If the area becomes red, tender or drains you should consult with your plastic surgeon.

This is not unusual. It may represent a slowly dissolving suture, or a small cyst, or some fat necrosis. Massage is the best option the early post-op phase. Have your surgeon re-evaluate at 6 months, if still persists, it and can be excised in the office.