My stomach has fluids and swelling 7 months after TT. What can I do to get a flat stomach?

Persistent swelling and fluid accumulation several months after a tummy tuck (abdominoplasty) can be concerning and might indicate complications such as seroma, lymphedema, or other issues. Here are some steps you can take to address this issue:

Consult Your Surgeon: It's crucial to follow up with your plastic surgeon. They can assess the cause of the swelling and fluid buildup. This might involve a physical examination, ultrasound, or other imaging studies to determine the underlying issue.

Drainage Procedures: If you have a seroma (a collection of fluid), your surgeon may recommend drainage. This can sometimes be done in the office with a needle and syringe. In some cases, a more invasive procedure might be required to place a drain or address the fluid pocket.

Compression Garments: Wearing compression garments as recommended by your surgeon can help reduce swelling and support healing. If you stopped wearing them too soon, your surgeon might advise resuming their use.

Lymphatic Massage: Lymphatic drainage massage can help reduce swelling by encouraging the movement of lymph fluid through the body. Make sure to consult a certified therapist who specializes in post-surgical lymphatic massage.

Healthy Lifestyle: Maintaining a healthy diet and regular, light exercise can promote healing and reduce swelling. Avoid high-sodium foods, which can contribute to fluid retention.

Medications: Sometimes, medications such as diuretics can be prescribed to reduce fluid retention, but this should be done under the supervision of your healthcare provider.

Re-evaluation for Revision Surgery: In some cases, if the swelling and fluid issues persist and significantly affect your results, your surgeon might discuss the possibility of revision surgery. This would involve correcting any issues from the initial procedure.

7 months post-surgery is a significant amount of time for healing, and persistent swelling should be evaluated by a professional. Be sure to communicate openly with your surgeon about your concerns and follow their recommendations closely.

Dear Thatbootytho,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

If you have a seroma you need to return to your surgeon to have it addressed. Often times it can be aspirated in the office until it heals. Compression is helpful to avoid seroma formation. If there is excess skin then excision can be performed to address it.