Is My Tummy Tuck Normal? There's a Weird Roll Above the Scar? (photo)

Question

Hi, 6months ago I had TT surgery, I also paid for vaser Lipo on the abdomen, However since the surgery there has been a distinct roll above the scar line, I have not lost weight or gained any and am wondering if the lipo was even performed? I am disapointed as it pokes through clothing and am quite conscious of it, Should the surgeon fix this? Thanks in advance.

Dean Trotter, MBBS, FRACS · Answer

I think that given it is now 6 months after your surgery the results are not likely to change much.  I think that you should go back to see your surgeon to discuss it with them.  Usually surgeons are very keen ensure that you are happy with results of your surgery and in this instance may consider a revision procedure to deal with your concerns.

	Kind regards,

	Dean

Vincent N. Zubowicz, MD · Answer

The ridge of swelling above the incision is very common after abdominoplasty. On your scar is flat and white that will be the endpoint.

Darryl J. Blinski, MD · Answer

This is called the hanging effect of an uneven layered closure. Revision via either excision, liposuction or both can improve greatly.

Richard Bloom, MBBS (Hons), FRACS · Answer

Hi there Julia,

	I think you have a combination of some persistant swelling and some adherence of the scar.

	The good news is that it should be quite easy to fix.

	My approach would be to do some liposuction to the bulge and then probably excised the scar and resuture the wound. That procedure could be done as a day case and should have a quick recovery.

	I would expect that to solve the problem for you and you should get an excellent result.

	Your best way forward is to see the plastic surgeon who did the original surgery and discuss it with him/her.

	Best wishes

	 

	Richard Bloom

	Plastic Surgeon

	East Hawthorn, Melbourne

	Board Chairman Plastic and reconstructive surgery

Gordon Lewis, MD · Answer

I am sorry you are unhappy with the results of your tummy tuck. It looks to me as though you have some extra fat in the lower abdomen.  At six months out form surgery, it is doubtful you will get much more improvement in the contour.  

	Should the surgeon fix this?  It comes down to your surgeon.  If you were in my practice, and you paid for a tummy tuck as well as liposuction, I would not charge you a fee. (there would be a anesthesia and OR fee).

Remus Repta, MD · Answer

Hello Julia,

	Thank you for the question and the photos.  It appears that you could benefit from liposuction of the abdomen and flanks.  There is a chance that you may have fullness secondary to abdominal wall issues but I think it is far more likely that there is excess fat in those areas.  This can be determined with a physical examination.

	All the best,

	Dr. Remus Repta

Peter Fisher, MD (retired) · Answer

Hi Julia252

	I don't know whether suctioning was performed or not. I do see your concerns and believe suctioning at this point may be needed. You need to discuss this with your surgeon. Each Plastic Surgeon has their own policies regarding touch up procedures.

	Good luck

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