Hello youngheart. Thank you for your question regarding the presence of lumps and discomfort you're experiencing 12 weeks after your tummy tuck. It's not uncommon to notice some irregularities such as lumps after a tummy tuck, especially within the first few months as your body continues to heal and adjust. Here are some insights and suggestions regarding your concerns: Causes of Lumps: Swelling and Fluid Accumulation: Even at 12 weeks post-op, localized areas of swelling or fluid accumulation, such as seromas, can present as lumps. Scar Tissue Formation: Scar tissue can form as part of the normal healing process and might feel like lumps near the incision area or where tissues were repositioned. Fat Necrosis: This occurs when fatty tissue damaged during the surgery hardens and forms lumps. Discomfort When Standing: This could be related to the lumps you are feeling, where pressure or tension from internal healing might be causing discomfort, especially in positions where the abdominal tissues are stretched or compressed. Management and Treatment: Observation: In many cases, minor lumps and swelling resolve on their own as the healing progresses. It's important to monitor the size and feel of the lumps, noting any changes. Massage: Gentle massage can sometimes help, particularly if the lumps are due to soft scar tissue. This can help increase blood flow and facilitate the healing process. Warm Compresses: Applying warm compresses can help reduce discomfort and might assist in resolving minor fluid collections. Wearing Compression Garments: If you are not already, continue wearing compression garments as recommended by your surgeon, as these can help reduce swelling and support the healing tissues. Check with Your Surgeon: It’s important to consult with your plastic surgeon about these lumps and discomfort. They can evaluate whether what you're experiencing is a normal part of the healing process or if it requires further intervention. Ultrasound: Your surgeon might recommend an ultrasound to better characterize these lumps and decide on the best treatment approach, such as draining a seroma if present. When to Seek Immediate Help: If you notice an increase in size, pain, redness, or warmth around the lumps, or if you develop a fever, these could be signs of an infection or other complications that require prompt medical attention. It’s good to stay vigilant and proactive about changes in your post-operative recovery. Regular follow-up appointments with your surgeon are crucial for ensuring a smooth recovery and addressing any issues early. I hope this helps, and I wish you a swift and smooth recovery. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS Plastic Surgeon