Do I Need a Revision? MOM 6 Days Ago? (photo)

I had my mommy makeover 6 days ago. Full tummy tuck, lipo, breast lift and augmentation. Pre surgery I weighed 121 Post op I weighed 143. I am extremely swolen and uncomfortable. I am completely unsatisfied with my tummy tuck. It looks as if he didn't even remove any skin and my stomach looks twice as big as it did before. Not flat by any means and flat is obviously what I was expecting to see.

Doctor Answers 12

6 Days After Surgery - Too Early To Comment About A Revision

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A weight gain of 10 pounds after a tummy tuck is not unusual, and with multiple areas to include breast and lipo, a 22 pound weight gain is possible.  One's swelling is worse between 5-7 days after any surgery, so your body should start mobilizing the water which is presently in, what is called, the third space out of the third space, and you should start urinating quite a bit.  Also, there is a chemical depression that occurs around the 5th or 6th day, probably due to fluid changes in your body and also finally getting rid of the anesthetics from the surgery.  This is compounded by a psychological depression because all of us, myself included, would expect to look good sooner rather than later.  The trouble is, 6 days is a little too sooner. 

At this point, you need to communicate often with your plastic surgeon.  He or she needs to be supportive of you, acknowledge your feelings, and point out what so many of the Real Self responders have already mentioned to you.  Your body is swollen, and this swelling creates an uncomfortable feeling which adds to the inherent depression after surgery.  In  my practice, I would give you a short course of corticosteroids (Medrol dose pack) to decrease the swelling.  Use a pressure garment continuously.  I and my head nurse both give our patients our personal cell numbers so that all questions can be answered.  There are no foolish questions.  Your unhappiness is real, but your surgery may be a great surgery.  You just need to give it time. 

Healing process lasts up to 1 year!

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The wound healing process following mommy makeover surgery lasts for over a year.  Your pictures suggest the presence of significant swelling following this procedure. Most of the swelling resolves in six to eight weeks, but small amounts of swelling may persist for up to a year.  The procedure inevitably interrupts the abdominal lymphatic drainage, and this takes time to re-establish itself.  Patients can minimize swelling with compression garments, massage and limitations on activity levels.  It’s important to remember that swelling is a normal part of wound healing and should resolve with time. 

                Significant swelling should be evaluated by your plastic surgeon.  In the vast majority of patients, this swelling is probably normal, but in a small percentage of patients it might represent a problem.  Seroma formation, low grade infection and separation of the muscle closure may be possible explanations for this swelling.  In some cases, a CT scan may be necessary to resolve this issue.  If you have concerns about persistent swelling, make sure you discuss the issue with your plastic surgeon.  At this point in time revisional surgery shouldn’t be a consideration.

Healing and Recovery Following a Mommy Makeover

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The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.    

Healing after a  #tummytuck will require time. Some patients are out of bed and walking the night of surgery and every hour while awake. I allow my patients to return to work at one to two weeks with 14 days preferred.  However, no lifting or straining.  At three weeks, increased level of activity and full with no restrictions, at 6 weeks. #MummyTummy is a term given to modified tummy tucks which can use liposuction and skin tightening with radiofrequency such Vanquish, Vela3, thermage, thermiRF and others.  The actual fat contouring can be done non-surgically as well with #UltraShape or Cool-Sculpting. Also some severe scars can be treated with re-excision, laser, kenalog/5-FU injections, creams, silicone strips and other methods to reduce and improve healing. Additionally, scar therapy with scar maturation products (e.g. BioCorneum or Embrace) are suggested for managing scars. However, we recommend you wait to use scar improving products until a few weeks following your surgery. 
As I advise my patients, if your work keeps you sedentary, you may return whenever you feel up to it. If your work is strenuous, wait until your work activity does not cause any superficial pain. 
Some employers will modify a person’s job duties so they can back sooner, but without physical activity. Our office can provide our patients with a note stating they are not to engage in strenuous activity for a specified period of time. The note will not disclose what procedure they have underwent. Therefore, you may have to request a similar note from your surgeon if you are not independently employed. I recommend avoiding heavy lifting and strenuous #activity for six weeks following your surgery. With that said, it may help you plan your return to work accordingly.

As for heavy lifting and other #strenuous #activities, it should be avoided for until you have clearance from your surgeon. You may, however, do normal activities at any time if they cause no pain or #discomfort. Let your body tell you what you can or cannot do. Aerobic exercise will raise your blood pressure, which could cause late bleeding and harm your result. Once you begin exercising again, start gently and let your body tell you what it can tolerate. Don’t rush!!  If you have concerns about your healing, or pain that you question to be unusual, it is important to call your plastic surgeon to discuss these further asked to be examined.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Swelling after an abdominoplasty

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Swelling is obviously normal after an abdominoplasty.  This can be either soft tissue swelling or a collection of fluid under the skin.   It really requires an examination to understand the issue at hand.  This type of lower abdominal swelling can take up to 3 months to resolve.  If it is a seroma then you will require needle aspiration.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 20 reviews

Swelling After Mommy Makeover

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While this appears to you like cause for concern, everything looks to be proceeding normally. Swelling and bruising after surgery is common. At six days it is impossible to predict the final results. It will be at least 6 weeks before you get an idea of the final result. Do not worry and, as always, follow up with your doctor if you have any concerns.


Jaime Perez, MD
Mommy Makeover Specialist
Plastic Surgery Center of Tampa

Jaime Perez, MD
Tampa Plastic Surgeon
4.8 out of 5 stars 81 reviews

Do I Need a Revision? MOM 6 Days Ago?

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You have many postoperative complications that need immediate attention from either your surgeon or Er or Urgent care. Please seek medical care. 

Six days postop

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Its difficult to say what may be going on without a physical exam.  So your surgeon is the best person to evaluate you.  You are only six days postop.  It takes several weeks (6-8 weeks) for your swelling to resolve.  Please followup with your PS.

Dr. Basu

Houston, TX

Revision Mommy Makeover

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It is unfortunate that you had  this much weight gain.    I would strongly recommend close followup with your plastic surgeon and a medical evaluation by your primary doctor to ruleout any other medical issues.


You are far too early to consider revision.   You obviously swell and bruise significantly, so I believe it might take 2-3 months to evaluate your final result.    


I think as your recovery progresses and swelling resolves, you will see a much flatter tummy.    I wish you a safe and healthy recovery.


Dr. Gill

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 94 reviews

MOM 6 Days Ago?

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That is an alarming amount of weight gain, and you should be in close contact with your surgeon. Chances are the excess fluid you are carrying is contributing the the appearance that you are finding unsatisfactory, and you should expect marked improvement as it resolves. Some of your abdominal fullness may be a fluid accumulation under the skin and fat and this can only be determined resolved by seeing your surgeon. From the looks of the photo, your surgeon took out at least about 8 inches of vertical height of skin.


Thanks for the photos and for the question. Best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

Mommy Makeover Revision

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At just 6 days following a mommy makeover with tummy tuck it is much too early to determine if you would benefit from a revision of your surgery.  From your photos, it does appear you are quite swollen.  This swelling may be due to an accumulation of fluid or seroma.  Check with your surgeon, if it is a seroma they may what to drain it and this may significantly improve the swelling.  Best wishes.

Vincent D. Lepore, MD
San Jose Plastic Surgeon
4.7 out of 5 stars 63 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.