What could be causing hard lumps in my pubic area after a full tummy tuck with lipo?

Hi lindsey,  The firm areas could be secondary to the seroma that you had and the tissue is now a bit hard due to inflammation in that area. You need to be sure that the area does not swell again nor have spreading redness. If you have any doubts about what is going on, it might be a good idea for you to revisit with your PS.Best,Dr.Christine Rodgers

The best advice I can give you is to stay in contact with your plastic surgeon.   You are still early in your healing process and there can be scar forming, swelling, fluid collections, infection, etc.  Your surgeon is your best resource to navigate these possibilities and provide proper treatment.
Hope this helps.
Dr. Ali Mosharrafa

It is common for the pubic region to remain quite firm for 6-8 weeks after any sort of surgical inflammation in the area. If there is no remaining fluid, this is the most likely cause and you should expect it to resolve with time.

It sounds like you had seroma, which forced your incision to open up for partial drainage.The swelling and hardness could be due to either some pockets of seroma or infection. If these area are not responding to antibiotic, your PS may consider imaging or ultra sound examination to find out what is going on requiring some intervention.

The areas of lumpy hardness in the pubic area are related to the seroma fluid which collected in the lower abdomen following the tummy tuck.  Massage and time generally help to soften and eventually make the firm areas disappear.  You should followup with your surgeon to be sure that your healing is progressing satisfactorily.

These can be the tracks of the drains which are in the healing phase may make them little tender, itchy and swollen. They all should subside with time. Gentle massage will hasten the process.