I've noticed a small bulge in my pubic area, near the scar from my tummy tuck surgery. Options? (Photos)

Question

Four years ago, I underwent a tummy tuck after shedding 100 pounds through lifestyle changes, healthy eating, and regular exercise. The transformation has been incredible, and I'm thrilled with my new body. However, I'm bothered by a small bulge near my pubic bone and tummy tuck scar, which is noticeable in tight clothing. While I've been advised to consider a mini tuck, I'm seeking more budget-friendly options. Could laser lipo or CoolSculpting be viable alternatives?

Jeffrey M. Darrow, MD · Answer

Thank you for your photos.  First, you should determine what is causing the bulge. If this is simply some subcutaneous fat, then under local anesthesia, a minor liposuction procedure could be done to improve your contour. Coolsculpting is an option but has the possibility of PAH, (Paroxysmal Adipose Hypertrophy) where the area treated actually gets larger, rather than smaller.  Laser liposuction would likely be a more expensive option, as opposed to standard tumnescent liposuction.  However, if this bump is secondary to a bulging/protrusion of the fascia in your lower abdomen, then liposuction is not going to improve this and a mini tummy tuck with repair of the fascia would be required to improve the contour of this area.  Best wishes.

Daniel Barrett, MD · Answer

Dear Cosmanles,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

An in person evaluation is best, but from the photos it appears that liposuction should be able to improve the protruding area.  Because the area is small you may be a candidate for having it addressed under local anesthesia.  See a board certified plastic surgeon near you to learn more.

Leila Kasrai, MD, FRCSC · Answer

It depends on what is causing the bump. It is just fat, then liposuction alone may be sufficient. If it something else, then a mini tummy tuck may be a better option.

Daniel Careaga, MD · Answer

there are several things that could cause a bulge around the area of your tummy tuck scar. Fat necrosis (fat cells die and become scar tissue due to the sutures), a hernia, excess fat for a retained seroma (fluid collection). It would definitely be important to make sure that it is not a hernia that could potentially lead to complications down the road. I would recommend being examined by the surgeon that performed your tummy and then possibly performing a diagnostic test such as an ultrasound or a CT scan.

I've noticed a small bulge in my pubic area, near the scar from my tummy tuck surgery. Options? (Photos)

Answers (9)

Answer: What's causing the lump?

Answer: What's causing the lump?

Answer: Bulge near tummy scar

Answer: Bulge near tummy scar

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I've noticed a small bulge in my pubic area, near the scar from my tummy tuck surgery. Options? (Photos)

Answers (9)

Answer: What's causing the lump?

Answer: What's causing the lump?

Answer: Bulge near tummy scar

Answer: Bulge near tummy scar

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Recommended reading

Everything you need to know about Mini Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.