Hip Bulge on One Side

Hi I had a TT almost 3 months ago and have a bulge on one hip just above my incision. It makes me look really unsymetrical as the bulge is large so my hips look really different in shape. I am so disappointed. I have had a revision to this area and even though the scar has been straightened out, the bulge is still there sticking out. What do you think would be the best course of action to remove it? I'm feeling really disappointed with the whole process as the revision hasn't worked either.

Doctor Answers 5

Unsatisfactory Tummy Tuck "Dog Ear" and Scar Revision

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Without a face to face physical examination much less a photograph there is no ethical way we can begin to answer your question in the mannere it should be answered. Side fullness after a Tummy Tuck is related not so much with what was removed but with what was left behind. We are three dimensional creatures. Unfortunately, a Tummy Tuck addresses only the front of the abdomen. If you have excessive fat on your hips and back with or without skin excess, removing the skin and fat apron in the front will only unveil this excess, The side fullness you seem to be unhappy with is most likely excess skin and fat which were not (could not be) removed with the tummy tuck. In your case, the surgeon is "chasing the dog ears" sideways but not winning because you most likely would have benefitted from Liposuction of the back and hips before or at the same time as your Tummy Tuck, from a Lower Body Lift procedure OR at this point from a Buttock Lift. Without a photograph it is impossible to be sure. I have extensive experience in this area and I am still repeatedly amazed on how many women see only the loose front (2 dimensional view) rather than recognize the 3D features and challenges to JUST performing a Tummy Tuck and temporarily ignoring everything else. Dr. Peter Aldea

Memphis Plastic Surgeon

Hip bulge

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A hip bulge after a tummy tuck may be residual fat or skin and even swelling after surgery. Without photos I could not be sure.

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

Tummy tuck outcome: managing expectations

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The bulges can be due to several different causes. One of thesemay be persistently lax or redundant skin and you really need an extended tummy tuck or circumferential belt lipectomy. Another can be associated with scoliosis and asymmetric positioning of the hips. There are a variety of causes and I am sure that you must have recieved some benefits from the full tummy tuck which generally does not treat the hips; this requires a thigh or buttock dermolipectomy.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Post-Tummy Tuck Bulge

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A bulge after a Tummy Tuck procedure could be fluid under the skin that needs to be aspirated.  I would give it some more time to heal since it's only been 3 months and full results can take up to a year. 

Robert N. Young, MD, FACS
San Antonio Plastic Surgeon
4.6 out of 5 stars 73 reviews

Bulge after Tummy Tuck

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 Without an exam, it is hard to say why you have this area of fullness. It could be related to some preexisting anatomic asymmetry you had before surgery, it could be swelling, scar tissue, or a localized bulging of the muscle there, a fatty deposit, etx. It may or may not be correctable. I would go by the advice of your plastic surgeon. Sometimes just waiting after surgery improves the situation. I have seen swelling from an abdominoplasty take 6 months to 1 yr to resolve.

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.