Recurring Hematoma 2 Weeks After Tummy Tuck

Rarely would one expect a bleed 9 days after a tummy tuck, and 2 days after the drain was removed.  More than likely, you had a collection of blood which lysed (dissolved) giving you usually old coffee-grind-like material which is a dissolving blood clot.  Your second occurrence of a swelling which appears to be the same material is actually a second round of lysis of the old clot.  This process may go on for awhile, and unfortunately, it may lead to a seroma cavity (once the old blood is removed, the pocket in which it was held then starts producing a clear liquid and the swelling changes from a dissolving hematoma to a seroma).  

Recurrent drainage of this type of lysing blood clot is rarely sufficient.  A percutaneous (through the skin) in office draining system such as a Seromacath can drain the dissolving hematoma and help shut the cavity.  Obviously, this requires a plastic surgeon's intervention.  Please contact your plastic surgeon as soon as possible.  It is not clear if you are draining the lysed hematoma by yourself or if there is a physician involved.  At any rate, recurrent draining increases your chance of infection which can then decrease the aesthetic results of a good tummy tuck.   

Talk to your surgeon about the cause of the bleed.  This is not common and very unlikely.  Be certain to keep your activity intensity at a low level.

If you are continuing to ooze blood then your surgeon may have not choice but to reoperate.  This could have occurred if you were placed on a blood thinning agent after surgery.