I has a full tummy tuck with muscle repair and lipo of the flanks. I am now 5 weeks post op and I still have a gross pooch like area in my lower abdomen. It's especially prominent when I bend over. My plastic surgeon says it's just swelling, but to me it looks and feels like fat and skin and I'm starting to feel like I didn't pick a good surgeon. I'm also concerned by the dark color of my scar, and the red ripple lines still all around it. Help please!
Answer: 5 Weeks Postop and Upset with Results Thank you for allowing me to answer your question. At 5 weeks it is too early to judge the final result from an abdominoplasty. You appear to have a lot of improvement in the contour of your abdomen but if you feel you have asymmetrical swelling it could represent a seroma. I would follow the advice of your surgeon regarding any instructions for scar massage and postop compression garments. I would try to be patient and give it at least another 2 months before considering any revisions as the scar color and contour of your abdomen will continue to improve with time.
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Answer: 5 Weeks Postop and Upset with Results Thank you for allowing me to answer your question. At 5 weeks it is too early to judge the final result from an abdominoplasty. You appear to have a lot of improvement in the contour of your abdomen but if you feel you have asymmetrical swelling it could represent a seroma. I would follow the advice of your surgeon regarding any instructions for scar massage and postop compression garments. I would try to be patient and give it at least another 2 months before considering any revisions as the scar color and contour of your abdomen will continue to improve with time.
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May 5, 2014
Answer: Upset with Tummy Tuck Compare with before pictures. You have no wound separation, a big chunk of your excess skin and fat are gone, your scar is low and short, and your waist more narrow than before surgery. Your belly looks fit in the four weeks post photo. Lymphatic drainage of hypogastrium is disrupted by abdominoplasty. Reconstitution of this drainage takes time, and skin below belly button will be swollen for months. Your surgeon chose shorter scar and tucked you in from the sides which contributes to central fullness below belly button. This can be treated later by suction or office revision if you wish, but a very long scar can never be shortened or erased. Your surgeon appears to have done a nice job in my opinion.
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May 5, 2014
Answer: Upset with Tummy Tuck Compare with before pictures. You have no wound separation, a big chunk of your excess skin and fat are gone, your scar is low and short, and your waist more narrow than before surgery. Your belly looks fit in the four weeks post photo. Lymphatic drainage of hypogastrium is disrupted by abdominoplasty. Reconstitution of this drainage takes time, and skin below belly button will be swollen for months. Your surgeon chose shorter scar and tucked you in from the sides which contributes to central fullness below belly button. This can be treated later by suction or office revision if you wish, but a very long scar can never be shortened or erased. Your surgeon appears to have done a nice job in my opinion.
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May 4, 2014
Answer: Tummy tuck It is still a bit early to panic but talking with your board certified plastic surgeon is a good idea to share your concerns. Your incision length look more like a mini or modified abdominoplasty. Seroma is the number one thing to rule out. You may benefit from revisionary surgery but time will tell. Good Luck!
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May 4, 2014
Answer: Tummy tuck It is still a bit early to panic but talking with your board certified plastic surgeon is a good idea to share your concerns. Your incision length look more like a mini or modified abdominoplasty. Seroma is the number one thing to rule out. You may benefit from revisionary surgery but time will tell. Good Luck!
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May 4, 2014
Answer: I am 5 weeks post-op from a full TT and upset with my results. Is this really just swelling, or are these my results? Thank you for the question and pictures. Although it is not possible to give you definitive information or reassurance online, hopefully it will be helpful to you to know that the types of concerns that you are having after tummy tuck surgery are not unusual at your stage in recovery. Again, although I cannot reassure you that you will be pleased with the outcome of surgery some general thoughts regarding postoperative swelling after tummy tuck surgery may be helpful to you: 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. This may be diagnosed on physical examination with your surgeon examining you in different bodily positions. 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 or skin excision may be 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. I hope this helps.
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May 4, 2014
Answer: I am 5 weeks post-op from a full TT and upset with my results. Is this really just swelling, or are these my results? Thank you for the question and pictures. Although it is not possible to give you definitive information or reassurance online, hopefully it will be helpful to you to know that the types of concerns that you are having after tummy tuck surgery are not unusual at your stage in recovery. Again, although I cannot reassure you that you will be pleased with the outcome of surgery some general thoughts regarding postoperative swelling after tummy tuck surgery may be helpful to you: 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. This may be diagnosed on physical examination with your surgeon examining you in different bodily positions. 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 or skin excision may be 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. I hope this helps.
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Answer: Extremely early You are very early in your journey of healing after an abdominoplasty - which is a significant undertaking indeed. You should continue to follow your doctor's advice and regular follow-up appointments. You will likely see final contour results at 6 months; however, the scars will improve for longer.
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Answer: Extremely early You are very early in your journey of healing after an abdominoplasty - which is a significant undertaking indeed. You should continue to follow your doctor's advice and regular follow-up appointments. You will likely see final contour results at 6 months; however, the scars will improve for longer.
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