Skin not reattaching to fascia and not a seroma after tummy tuck with muscle repair. Is there anything that can be done? (photos

Dear melrosaIt is too early to assess the outcome. The area will have prolonged edema and will take its time to take final shape. You should only consider revision after 4-6 months from last surgery. be patient. It will pay off. Sometimes early intervention can lead to long term unfavorable scarring and complications.

If a pocket persists after repeated drainage of a chronic seroma, it is often because the space has become lined with organized collagenous tissue to form a capsule or bursa. The diagnosis can often be confirmed with an ultrasound study. If this were confirmed there are many approaches to the treatment. This could include injection of an irritant into the space, compression,  or placement of drains. The definitive treatment would be surgical excision of the lining. These are issues that should be discussed with your surgeon. 

If the bulge came back two weeks after it was drained the last time and it was flat then, it could be a seroma or you may have separation of the plication suture(s) in that area.  Hard to say without an exam.  It is more likely to be a recurrent seroma in which case the skin may not attach to the fascia.  This would be from the seroma forming a surrounding scar capsule.  If you are not comfortable with the assessment of your surgeon, a second opinion is reasonable at this point.