Bulge and ledge after extended tummy tuck! How do I fix it? (Photos)

Question

I'm 3 months post op. I have a ext. tt wit lipo of the flanks. My tummy was completely flat after surgery, then I go a seroma. I had the seroma trained but the bulge never completely went away. I now have what looks like a muffin top on my front left side. Spots on my incision open from time to time. How do I fix this, or do I need revision surgery?

Gerald Minniti, MD, FACS · Answer

Hello,First thing is to determine if you are healed and have no residual fluid collection.  If there is uncertainty, then an ultrasound of the region will confirm that there is no more fluid.  Once that has been established, it is likely that liposuction will re-contour the area and give you a flatter appearance across your abdomen. Best of luck!

Zoran Potparic, MD · Answer

Most likely that you have some fluid in your lower abdomen; chronic seroma must be ruled out by means of standing CT scan. If there is no seroma, waiting at least 6 months is recommanded for swelling of soft tissue to subside. Revision surgery by means of liposuction, possibly scar revision/skin excision may be considered not sooner then 1 year after first surgery. Good luck.

Aldo Guerra, MD · Answer

You have open wounds and are not fully healed. You need to see your plastic surgeon as soon as you can and address these wounds. Your wounds may be related to your muffin top in the swelling in the photos or is there a seroma is present? Get checked out. No revisions until 1 year post-op.

Daniel Barrett, MD · Answer

Dear JayMO314,it is hard to tell without an examination. I would suggest you to consult your plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Gary L. Ross, MBChB, FRCS · Answer

It is still early postop and things will improve. After 12-18 months if you still have excess tissue this could be removed.Stay in contact with your PS esp if you are having some discharge still.

Bulge and ledge after extended tummy tuck! How do I fix it? (Photos)

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Answer: Bulge after tummy tuck

Answer: Bulge after tummy tuck

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Bulge and ledge after extended tummy tuck! How do I fix it? (Photos)

Answers (8)

Answer: Bulge after tummy tuck

Answer: Bulge after tummy tuck

Answer: Early post op

Answer: Early post op

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Recommended reading

Everything you need to know about Tummy Tuck Revision

Our mission is to create a world where every investment in modern beauty is Worth It.