Tummy Bulge After Mommy Makeover

6 days post-op Mommy Makeover TT, BL, BA, woke up and I look 3 months Pregnant?

Doctor Answers 11

Swelling post-op surgery

After having multiple procedures, swelling and bruising is to be expected. Since swelling does travel south, your abdominal region will look distended and bloated. Swelling will subside after a couple weeks but could take up to 4-6 months. Final results may be seen up to one year post surgery. If you feel that there is something to be concerned about, consult with your plastic surgeon as soon as possible to avoid any complications. Take it easy, you have a lot of healing to do. Good luck. 

Very Concerned About Swelling After Mommy Makeover

Most likely you are experiencing a lot swelling and inflammation. After all, a Mommy Makeover is a major procedure. Healing after the  #tummytuck will require time. Some patients are out of bed and walking the night of surgery and every hour while awake.  Healing varies per person and will continue for 2-3 months for the early period. This includes some swelling, bruising, malposition, color differences. Sensation in the breasts may also be abnormal and scars will be evolve. Tingling, burning or shooting pains in the breasts will disappear with time and should not alarm you. It is simply a result of the regeneration of your sensory nerves. If these sensations cause pain, repeated, local self-massage per your surgeon's permission may help.

However, no lifting or straining.  At three weeks, increased level of activity and full with no restrictions, at 6 weeks. #MummyTummy is a term given to modified tummy tucks which can use liposuction and skin tightening with radiofrequency such Vanquish, Vela3, thermage, thermiRF and others.  The actual fat contouring can be done non-surgically as well with #UltraShape or Cool-Sculpting.
As I advise my patients, if your work keeps you sedentary, you may return whenever you feel up to it. If your work is strenuous, wait until your work activity does not cause any superficial pain. 
Some employers will modify a person’s job duties so they can back sooner, but without physical activity. Our office can provide our patients with a note stating they are not to engage in strenuous activity for a specified period of time. The note will not disclose what procedure they have underwent. Therefore, you may have to request a similar note from your surgeon if you are not independently employed. I recommend avoiding heavy lifting and strenuous #activity for six weeks following your surgery. With that said, it may help you plan your return to work accordingly.

As for heavy lifting and other #strenuous #activities, it should be avoided for until you have clearance from your surgeon. You may, however, do normal activities at any time if they cause no pain or #discomfort. Let your body tell you what you can or cannot do. Aerobic exercise will raise your blood pressure, which could cause late bleeding and harm your result. Once you begin exercising again, start gently and let your body tell you what it can tolerate. Don’t rush!!  If you have concerns about your healing, or pain that you question to be unusual, it is important to call your plastic surgeon to discuss these further asked to be examined.
Also, the purpose of the post-procedure #garment is to provide some gentle #support and to reduce swelling following a #TummyTuck or #Abdominoplasty. If it feels too tight or causes pain, take it off. Patients wear the #elastic garment for several weeks after surgery, as directed by their doctor. Some choose to wear it longer for several months for comfort.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 96 reviews

Swelling After Tummy Tuck Surgery

 It’s not unusual for patients to experience significant swelling following abdominoplasty. This swelling typically resolves in six to eight weeks, but small amounts of swelling may persist for up to a year. The procedure inevitably interrupts the abdominal lymphatic drainage and this takes time to re-establish itself.

         In some cases, abdominal distension may be related to other causes. One possible cause is seroma formation. Seromas are collections of fluid that accumulate beneath the skin. They usually require drainage which results in significant improvement in symptoms. Occasionally, this problem may be related to continued weakness of the underlying abdominal muscles and secondary surgery may be necessary to address this issue.

         When persistent swelling is present, consultation with your surgeon is important. Your surgeon should be able to evaluate you and make an appropriate recommendation. In most cases patients can minimize swelling with compression garments, massage and limitations on activity levels. It’s important to remember that swelling is a normal part of wound healing and should resolve with time. 


 

Swelling after an abdominoplasty

Swelling is obviously normal after an abdominoplasty.  This can be either soft tissue swelling or a collection of fluid under the skin.   It really requires an examination to understand the issue at hand.  This type of lower abdominal swelling can take up to 3 months to resolve.  If it is a seroma then you will require needle aspiration.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 16 reviews

Six Days After Tummy Tuck - Why Is My Abdomen Swollen?

Swelling after significant surgery such as a tummy tuck increases for the first 5 - 7 days.  In the abdomen, there are at least two separate causes for swelling.  One, the elevation of your skin and fat all the way from your pubic hair to your breast bone causes a lot of tissue injury which leads to swelling.  Second, because your muscles were separated from pregnancy and were sewn together as a part of the Mommy Makeover, this leads to significant swelling of the muscles themselves, both because they were pulled from their post pregnancy position to the midline in order to give you a flatter stomach and because sutures were placed into the covering of the muscles leading to tissue fluid release. 

Normally, swelling begins to decrease about the 8th day post op, and continues to improve over the next 3 - 4 months.  The majority of your abdominal swelling should be gone in 3 - 4 weeks, and the swelling from your muscle repair should start improving in 6 - 8 weeks. 

What I tell my patients is that at 2 weeks, you are going to think it is the worse thing you ever did to yourself.  At 3 - 4 weeks, you are going to think maybe your surgeon knew what he was doing.  By 6 weeks, you are going to think your surgeon is a genius. 

Bulging six days after mommy makeover...

Six days after your mommy makeover, this severe bulging you describe could be attributed to several things.  I am most concerned about a blood collection (hematoma) or a fluid collection (seroma).   I would also inquire if your abdominal muscles were tightened.  Please visit your plastic surgeon for an evaluation.

Tummy Bulge 6 days After Mommy Makeover

At 6 days after your procedures several possibilities may explain your abdominal bulging including a fluid collection or blood collection, soft tissue swelling, abdominal bloating and uncommonly disruption of the muscle repair among others. You should see your surgeon and have him help you.

Dr. Peter Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 102 reviews

Tummy bulge after Mommy Makeover

From the limited view here, it appears your fullness in intraabdominal and not subcutaneous. Possible causes of this include fluid retention, constipation/bloating, poor muscle tone, ascites (rare), visceral adipose tissue deposits. Discuss these with your surgeon. Frequently, I find that this improves with diet, probiotics, ambulation, and core strengthening when permitted by your surgeon

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 72 reviews

Swelling in the abdomen after tummy tumm, mommy makeover

In some patients, it is not unusual to have significant swelling after tummy tuck surgery.  The important issue is to rule out serious causes such as bleeding, seroma formation (fluid build up under your abdominal skin)  or a loose fitting abdominal binder which is not providing adequate pressure on your abdomen.  I assume you have drains.  Have they been removed? If not, are they functioning?

I recommend contacting your surgeon so he/she can rule out the above causes.  If it is due to swelling, it may take 6 months for the swelling to completely resolve. 

Best of luck.

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon
4.7 out of 5 stars 13 reviews

Swelling after Mommy Makeover

This may be due to several things. First of all it is normal to have a moderate swelling following surgery particularly in the breast and abdomen. Swelling may be diffuse as well. This may include the hands and feet.

Postoperatively drains and compression garments may be used to decrease the amount of swelling in these areas.

Localized swelling may be related to fluid accumulation in a specific area or to incomplete tightening of the abdominal wall during the procedure. Usually with time any of these causes become apparent and may be treated appropriately,

Nick Masri, MD
Miami Plastic Surgeon
4.7 out of 5 stars 14 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.