6 months post- op tummy tuck. Is it normal to still have pain where the drain tube was?

Question

I had a tt just about 6 months ago. I still have pain where my left drain tube was. It feels like a bruise when i press on it and also feels tight and sore when stretching my side. Is thisnormal?

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding pain near the drain tube site six months after your tummy tuck. Based on your description, the discomfort you're experiencing—tightness, soreness, and a bruise-like feeling—is not uncommon but warrants a closer look to ensure there are no underlying issues.

After surgery, the drain sites may heal with some degree of scar tissue, which can lead to tightness and tenderness. This can sometimes persist for months as your body continues the healing process. However, at the six-month mark, most patients no longer feel significant discomfort in this area. Persistent pain could indicate one of the following:

Scar Tissue Formation: It's possible that scar tissue or adhesions around the drain site are causing tightness and discomfort. This is usually harmless but can feel tender when pressed or stretched.

Residual Inflammation or Nerve Irritation: Drains pass through layers of tissue, and the surrounding nerves may remain slightly irritated for an extended period. This is generally temporary but can take time to resolve.

Underlying Fluid Collection or Seroma: Although rare this far out from surgery, a small seroma or fluid pocket near the drain site might cause soreness. Your surgeon can confirm this with a physical exam or imaging.

What You Can Do
Gentle Massage: Light massage around the area can help break down scar tissue and improve mobility. You may want to consult your surgeon or a licensed massage therapist familiar with post-surgical care.
Stretching and Mobility Exercises: Incorporating gentle stretches, as guided by your surgeon or physical therapist, can help alleviate the tight sensation.
Follow-Up with Your Surgeon: If the pain persists or worsens, it’s essential to have your surgeon evaluate the area to rule out any complications.
Most likely, this will resolve with time, but checking in with your plastic surgeon is the best step to ensure your healing is on track. Best of luck!

Sincerely,
Dr. Katzen

Peter D. Geldner, MD · Answer

It is uncommon to have pain at a drain site six months following a tummy tuck. Some soreness can linger, but typically no pain. I would return to your plastic surgeon and ask them to take a look.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Although not common, it is possible to still have some discomfort at the area of a former drain and I would discuss this with your surgeon.

Daniel Barrett, MD · Answer

Dear Easygoing795536,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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

Mild pain in the area where the drain tube was located is an indication that you are continuing to heal and should improve with time.  The pain should not be severe, nor should the area be reddened or hot to the touch.  If that occurs, see your surgeon as those are signs of infection.

Douglas Taranow, DO, FACOS · Answer

It is uncommon to have drain site pain at 6 months.  As long as there is no residual swelling or redness, there is no emergency.  If I had to guess, there may be some scar tissue in the area.  I would suggest massaging and stretching the area daily, which may aid in resolving the issue.  Many surgeons wait a full year prior to any revisions.
Best wishes.
Dr. Taranow

Mats Hagstrom, MD (license on probation) · Answer

A tummy tuck is a very extensive operation. The abdominal wall is completely taken apart and reconstructed.

It’s common for people to have new sensations of tightness, tension and discomfort with certain movements after the procedure.  most people eventually get used to the changes and with time the discomfort diminishes.  this process can take months to years.  some people never quite get fully adjusted to the difference in their body after this procedure though most people eventually do it and I’m not bothered by it.

Best,

Mats Hagstrom MD

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