Tummy tuck bulge above belly button. (photos)

Thank you for your question and photos.  There are a few things that can cause an upper abdominal bulge after a tummy tuck.   A seroma would likely have been visible on a CT.  Rupture of the upper abdominal sutures causing recurrence of the diastasis is another but would not necessarily be visible on a CT.  A hernia is often not visible on a CT done while lying down.  Intra-abdominal fat is an unavoidable cause, but that is less likely given your preop photos.  Upper abdominal flap fat is also possible, but your photos do not suggest this cause.  Finally swelling and inflammation is another cause that usually resolves on its own.  At this point, residual looseness of the upper abdominal muscles or new intra-abdominal fat are the most likely causes.  I would recommend getting back on a good diet and exercise regimen to loose a couple of pounds and to get as close to your ideal weight as you can.  If it has not resolved with a bit of weight loss and it really bothers you, re-tightening the muscles with additional surgery is the best option.  Hope this helps.  Best wishes!

Thank you for sharing your question and photographs and I am sorry that your results have not been what you anticipated.  Though you have received a nice improvement I see your area of concern, and based on a normal CT scan result, my best guess is that your upper abdominal muscles were not sufficiently tightened to avoid this bulge appearance.  Correction would require a surgical revision but voice your concerns to your surgeon, as they can offer you the best recommendation based on an in-person examination.