Hump under my breast formed a couple days after surgery & 6 years later is still there (Photos)

Based on these photos it is very likely fat tissue that was not aggressively removed during TT. However, abdominal wall bulge due to weakness of abdominal wall (diastasis, hernia) should be considered as well. Only on the basis of in person consultation surgeon can make proper diagnosis and present plan of treatment. A second opinion consult with another board certified plastic surgeon should be considered. Good luck.

Hello:This is most likely due to the absence of muscle plication in the upper abdomen, or, if it was performed, the stitching may have torn or caused a rupture in the muscle, leading to a loss of its effectiveness. The issue can be resolved by either redoing the muscle repair or performing a mesh repair, followed by the use of an abdominal binder for 2-3 months for support.

Sometimes tightening of the lower abdominal muscles can cause this issue. It can also be from excess fat. The options are to essentially re-do the tummy tuck, or see if liposuction alone could help. For sure see an experienced surgeon as these cases can be challenging to diagnose and treat

You need an examination to see if this is fat which can be treated with liposuction, a weak muscle which will need to be tightened, an old seroma which will need to be removed, or something internal. An abdominal ultrasound would be helpful.

It's difficult to tell from photos alone. This could be some excess fat which could be improved with liposuction. It could be visceral fat in which case weight loss would improve it. The other option is that there is abdominal wall laxity. This would be corrected through a tummy tuck revision. I welcome you to visit us in our Houston office to discuss your options.

I think the first step would be to try to get an idea of what the bulge in your upper abdomen represents.
It’s not typical to form a fluid collection called a seroma in this part of the abdomen after a tummy tuck, but it can happen.
An ultrasound would determine if there is a fluid collection in this area.
To make a quality assessment regarding the outcome of any plastic surgery procedure we usually need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures and ask your surgeon to forward the pictures they took.
There are a few reasons why someone can have the bulging of the upper abdomen.
One of most common reason is individuals who have excess visceral fat. Sometimes muscle tightening of the lower abdomen, can be quite strong and individual who have excess visceral fat will develop an increased in abdominal pressure with bulging of the upper abdomen.Individuals who are barrel chested are also prone to having some bulging of the upper abdomen.
If the sternum sits significantly forward to the position of the pubic bone in the abdominal wall is going to slope in muscle tightening creates a line between the rib cage and the pelvis. If the rib cage project significantly, the muscle tightening is not going to pull in the abdomen in the upper aspect, but will allow the abdomen to come in to where the insertion of the abdominal muscles are in the pelvic region.
If combined with excess visceral fat, then bulging of the upper abdomen is usually seen postoperatively.
This is not something that gross and becomes worse a few days after surgery.
Either follow up with your plastic surgeon or schedule a few in person consultations with other plastic surgeons in your community.
For second opinion consultations come prepared to bring with you a complete set of proper before and after pictures and preferably a copy of your operative report.
These are all part of your medical records and if your previous provider is still in practice, then he or she should have them in their files.
The legal obligation to maintain a medical records varies from state to state.
Best,
Mats Hagstrom MD