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Why the huge bulge after Tummy Tuck with Muscle Repair? (photos)

Hi- I have a Huge upper bulge- looks like a basketball. It feel like it's getting bigger. It's hard, not fluid like. I've attached pics, I'm putting on pounds instead of loosing. I drink water watch what and how I eat. Feel like my muscle repair came undone??

Doctor Answers 10

October 12th, 2016

Big bulge after tummy tuck

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Hi mlfchick

You have a problem that your doctor needs to address.  I can think of two things off the top of my head, but an exam will be required to make a diagnosis and plant.

The two possibilities, given the huge change from 3 months, are:

1. fluid collection/seroma

2. rupture of sutures

and one other thing it could be- torn muscle.


I would see your doctor this week


All the best.

Scott E. Kasden, MD, FACS
October 12th, 2016

Why the huge bulge after Tummy Tuck with Muscle Repair?

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Hello dear, thanks for your post and provided information and pictures as well! can be fluid, or a suture came out or viceral fat. I recommend to visit your surgeon so he can evaluate you and give you the solution to this.

Good luck :)

Tania Medina de Garcia, MD

Tania Medina de Garcia, MD
Dominican Republic Plastic Surgeon
4.5 out of 5 stars 442 reviews

October 12th, 2016

HUGE BULGE

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This may be due to visceral fat, plication, issues, fluid collections, or maybe weight gain. Best to be seen in person.

Learn more: https://www.stevenwallachmd.com/body-procedures/abdominoplasty/

Steven Wallach, MD

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

October 12th, 2016

Why the huge bulge after Tummy Tuck with Muscle Repair?

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Thank you for your question. It may be sutures came out there or fluid collection or weight gain or combination. Please see your PS for evaluation 

Ven Erella, MD

Ven Erella, MD
Austin Plastic Surgeon
4.9 out of 5 stars 41 reviews

October 12th, 2016

Bulge after Tummy Tuck

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This should be looked at by your plastic surgeon. The history is important- how long post-operative are you?; How quickly did this swelling occur?- What activities have you been doing?

Your surgeon will be able to examine you and tell you what is going on. Then a treatment plan can be discussed.

In my practice, I have not had a separation of the muscle occur. It can happen of course, but I am more inclined to suspect a collection of fluid (serum) in that area.

Best wishes to you!

William H. Gorman, MD

William H. Gorman, MD
Austin Plastic Surgeon
4.0 out of 5 stars 19 reviews

October 12th, 2016

Why the huge bulge after Tummy Tuck with Muscle Repair

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Thank you for sharing your question and photograph.  I do agree that a substantial change has occurred to your recovery results and most likely a failure of your muscle repair.  See your surgeon for an in-person evaluation, they should be able to diagnose this quickly while then offering you treatment recommendations.  

Learn more: http://www.nelson-center.com/tummy-tuck.html

Nelson Castillo, MD

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 80 reviews

October 12th, 2016

Post op TT

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Hi and thanks for the question and photos. You should be re examined by you PS. It is possible that the upper part of your muscle repair may have loosened. Best of Luck- Dr Hardy...

James E. Hardy, MD

James E. Hardy, MD
Jacksonville Plastic Surgeon
4.6 out of 5 stars 65 reviews

October 12th, 2016

Bulge after tummy tuck

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It looks like either a failed rectus diastasis repair or fluid collection or possibly both.  This can be a common occurrence.  Talk to your surgeon.  

Andrew Gear, MD

Andrew Gear, MD
Charlotte Plastic Surgeon
5.0 out of 5 stars 29 reviews

October 12th, 2016

Bulge in upper abdomen after tummy tuck

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Sorry to hear about your upper abdominal bulge.  It is certainly not considered normal at this stage.  It could represent a fluid collection or an issue with the muscle repair.  An examination in person with your PS is the best way to get this diagnosed and resolved.  

Victor Ferrari, MD, FACS
October 11th, 2016

Why the huge bulge after Tummy Tuck with Muscle Repair?

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 I am sorry to hear about your concerns after tummy tuck surgery.Based on the photographic progression, I would share your concerns regarding  the integrity of the abdominal wall muscle plication.


 Your plastic surgeon will be your best resource when it comes to accurate diagnosis and treatment recommendations.  Best wishes.

Learn more: http://www.poustiplasticsurgery.com/Procedures/Procedure_tummyTuck.htm

Tom J. Pousti, MD, FACS

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.