2 weeks post op abdominoplasty, need revision? (Photo)

Question

So i had abdominoplasty exactly 2 weeks ago but i think that something is not ok because i still look pregnant, i still have the tummy! I am adding before and after photo. Can you please advise of it looks normal after 2 weeks post op? Tomorrow i am having a CT.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thanks for your question.You are only two weeks from the time of your surgery. This is very early on in the recovery period. I would not expect to see anything meaningful with respect to results until atleast 6 - 9 months. You will be very swollen and this will take time to settle down. A few questions:1) did you have a drain in the abdomen? 2) was your abdomen quilted ? 3) did you have your 6 pack muscles realligned (rectal divarication)I m not sure why you are having a CT. Did your surgeon feel there was a collection present - if so this is likely to be a seroma or liqiufied haematoma and can usually just be drained directly and is relatively straight forward to do. If you had quilting of the abdomen and your 6 pack realligned then this will make the area very swollen and again this will take time to settle.I would discuss this with your surgeon to determine what he/she thinks is going on but I would not even be considering revision surgery. I dont think you would find one surgeon who would do this.BW

Thomas Fiala, MD, FACS, FRCSC · Answer

Very difficult to tell anything in your post-op photos, with all the taping and dressings present.  CT is a good idea, and will rule out any fluid collections or any breakdown of the suture repair of your muscle layer.  If the CT is normal, just let your post-op swelling resolve, and work on weight loss to reduce any intra-abdominal fat.  If the CT shows some identifiable cause, your surgeon should intervene.All the best,

Raja Mohan, MD · Answer

It is hard to make any judgments based on the photos. It could be the expected amount of post-operative swelling or there could be fluid collections. I recommend you follow-up with your surgeon for a thorough exam. If you are planning to have a CT, that will give you a much better idea of what might be going on. Keep your surgeon informed of the results. Hope this helps.

Darryl J. Blinski, MD · Answer

Good idea to obtain CT of the abdomen to see if excess fluids accumulated. I think not based upon the before photos to me demonstrated you had excess visceral fat thus causing the bulging effect now.

Lourdes Rodriguez, MD · Answer

Thank you for your question.
As you're only 2 weeks post-opertory is to soon to know if you're going to need a revision, as i can see by your photos, you'e Recovery is going very well, you're just swollen as it's normal as expected in this kind of procedures. You'll only know if you'll need a revision by 6 months after the surgery that it's when you'll see the final result. Best wishes!

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