I had an extended tummy tuck 10 wks ago. My drains were in14 days, then removed only because the PS doesn't allow them in longer. Afterward I developed an infection at the drain site which was treated w/antibiotics & resolved. Now I notice that I have swelling in a very distinct area of my abdomen, beginning right below my naval & extending all the way into the pubis about 6" across. It is also quite numb. I now have a "pot belly," NOT the look I was after. What is this & will it go away w/time?
Swelling from Naval to Pubis 10 Weeks After Tummy Tuck? (photo)
Doctor Answers 8
Swelling after Tummy Tuck
According to your information it appears you were still having drainage two weeks postop. It is quite likely that you have continued to accumulate swelling fluid after removal of your drains and this has resulted in a seroma. Your surgeon should be able to determine this by physical examination and treat it with aspiration. Multiple aspirations may be necessary and wearing a compression garment should be helpful. Numbness is to be expected and should gradually improve over time.
Swelling from navel to pubis 10 weeks after tummy tuck?
The usual signs of the nerves regenerating and neuropraxia resolving is itching, followed by a burning sensation and then occasional sharp, shock-like pains. These will be normal to experience, and actually a promising sign. Usually, normal sensation returns, but is is also possible to have decreased sensation or even increased sensation to the areas affected. Re-educating nerves postoperatively is often helpful and will allow proper instruction for the affected sensory nerves - methods include using different textures to the affected areas when showering, bathing, applying lotion, etc. If bothersome, there are some medications that may be helpful, including Neurontin for pain for hypersensitivity. You can try various textures such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is also beneficial for the incision to make the finest scar possible. The last place to regain the sensation will be directly adjacent to the incision/scar as the nerves will make its way from the periphery to this location. If continual pain arises, evaluation is warranted. After ruling out other causes, one rare explanation may be that a neuroma has developed and may require surgical excision. This is very unlikely unless a large sensory nerve has been transected inadvertently during the procedure. Hope that this helps! Best wishes!
Numbness and Swelling post tummy tuck
Pablo Prichard, MD
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Swelling from Naval to Pubis
Thanks for your question. I cannot tell much from the photo, but from the narrative it seems that you may have a fluid collection, or seroma. Your surgeon should be able to tell this quite readily at the time of an examination, and the treatment is aspiration. Occasionally this is required several times. Replacing a drain is another possibility.
Numbness is universal after TT. Some sensation will return gradually over the course of a year.
This will go away, but with intervention. (There are other possible causes, but the time course you describe makes a seroma seem most likely.)
Thanks and best wishes.
Post operative swelling after tummy tuck
Swelling follows all surgeries. This is a necessary part of the healing process. However, if you have swelling that is recent and has developed since the drains have been removed, the evidence is strong that you have developed a seroma. This is a fluid collection that can be aspirated in your doctors office.
The numbness is standard and will improve with time.
A follow up visit with your surgeon will help clear up some of these questions.
Douglas Hargrave, M.D.
You will want to make sure that you do not have a seroma
Thank you for the question and photo. I would make sure that you have not developed a seroma. Swelling below your belly button this late after your tummy tuck may be a seroma. If it is a seroma you will want the fluid drained until it no longer collects.
All the best,
Dr Remus Repta
Swelling and numbness after tummy tuck
You just might have a small seroma causing the lower fullness, and support such as a Spanx can help it resolve. Numbness is the rule after tummy tuck, and will take a full nine months to get better.
See your surgeon. Then wait.
First of all, let your surgeon see you to make certain you do not have an infection (abscess) or fluid collection (seroma) causing the swelling. If none of those are present, you will need to wait a few months before assesing the final result as swelling can remain for quite a while after surgery and should continue to improve. If after it stops improving there is still more skin and fat than you would like, you may consider having it tightened up further with a smaller procedure. You may wonder why it wasn't pulled as tight as possible the first time. The answer is because there is a limit to how tight your surgeon can pull things together before there is a risk of the skin dying or not healing which are even more undesirable than a little residual pooch.
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.