Is this bulging normal 2 years post-op tummy tuck? (photo)

Question

I’ve had a tummy tuck two years ago. When I lean back I have this huge bulge on my lower left stomach. It is hard feels like muscle/organs. I hate how it looks but should I be concerned?

Chet Mays, MD · Answer

Thank you for your inquiry! Keep an open communication with your plastic surgeon regarding your concerns as there may be revisions that can be done. If you're unhappy with your results then we would be available to see you in person to evaluate and discuss any revision options. Schedule a consultation with a Board- Certified Plastic Surgeon to help you reach your goals!

Daniel Barrett, MD · Answer

Dear Polite710069,

I understand your concern. It is probably fat tissue or muscle. 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

Arif Eroglu, MD · Answer

Hello
It is likely that a seroma has formed and become encapsulated after the tummy tuck. The size can be determined by ultrasound. After that, surgery will be required to remove the capsule.

Connie Hiers, MD, FACS · Answer

Yes, go back to your surgeon and ask for an ultrasound to see what this is. It could be a collection of fluid, a seroma, now surrounded by a wall of scar tissue. this can be drained. it could also be a hernia, but a much lower chance.

Camille Cash, MD · Answer

An exam and possibly further testing is needed to determine the contour irregularity that you are experiencing.  It could be failure of muscle plication, scar tissue, a seroma, or something else.  Visit with your surgeon for an evaluation.

Mustafa Aydinol, MD - Account Suspended · Answer

Thank you for sharing your concerns – I completely understand why this is bothering you.
From what you’ve described, the bulge could be due to residual fat left behind during the initial procedure, or it might be a persisting seroma (fluid collection) or cyst that hasn’t fully resolved. Since it feels hard, it’s important to get ultrasound (USG) imaging to determine exactly what’s causing the bulge.
Additionally, I did notice what looks like a dog ear on one side of your scar. This can sometimes happen when there’s excess tissue at the ends of the incision, but the good news is that it can often be improved with a minor revision.
A revision procedure could help address the bulge and refine the scar for a smoother, more balanced result. I recommend consulting with your surgeon or a revision specialist to discuss imaging and next steps. You’re not alone in this, and with the right approach, the appearance can be improved significantly.

Is this bulging normal 2 years post-op tummy tuck? (photo)

Answers (6)

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