Lumps in my bikini line 7 months after tummy tuck. What are these, and how can I get rid of them?

Thank you for your question. Based on your description, these lumps above your bikini line, which are more prominent when standing and disappear when lying down, are likely residual swelling or areas of localized fat or fluid retention. These are relatively common after a tummy tuck, especially at 7 months post-op, as the body can take up to a year or more to fully heal and settle.

The lumps may also be small pockets of scar tissue, which can sometimes form along the incision line or in areas where lymphatic flow has not yet fully normalized. If you had liposuction as part of your procedure, the irregularity might be related to how the fat was removed or how your body is healing.

What You Can Do:
Lymphatic Drainage Massage: While stopping regular lymphatic massages is understandable due to cost, resuming occasional sessions might help improve the appearance and reduce any swelling or fluid buildup. A licensed massage therapist experienced in post-surgical care can assist with this.

Compression Garments: If you’ve stopped wearing compression garments, consider reintroducing them temporarily. They can help flatten lumps and improve lymphatic drainage.

Self-Massage: Gentle, consistent self-massage along the affected area can help break down scar tissue and encourage fluid movement. Use circular motions and be cautious not to apply excessive pressure.

Time and Patience: Seven months post-op is still within the healing window for a tummy tuck. Your body may continue to improve naturally as swelling subsides further.

Consult Your Surgeon: If the lumps are bothersome, persistent, or causing discomfort, it’s best to schedule a follow-up appointment with your plastic surgeon. They may suggest non-invasive treatments such as steroid injections for scar tissue or ultrasound therapy to break down hard areas. In rare cases, revision surgery may be discussed if the lumps don’t resolve and are aesthetically or functionally problematic.

It sounds like your recovery has otherwise been smooth, which is a great sign. These lumps are usually manageable, and with the right interventions, your results should continue to improve. Always consult a board-certified plastic surgeon to ensure proper guidance and care.

Sincerely,
J. Timothy Katzen, MD, FACS

I would suggest going back to your surgeon to see if you have suture granulomas or areas of fat necrosis, both which can be excised in the office under local anesthesia.

Your bumps are likely either, 1) Knots from the sutures under your skin, or, 2) small areas of fat which got strangled by the suturing. If your deep sutures are dissolving sutures, these bumps will eventually disappear as the sutures is absorbed. If those sutures are permanent, these bumps may not disappear. If these bumps are due to the strangulated fat, ie, fat necrosis, they will eventually resolve, though fat necrosis can take a long time to fully resolve. Check with your plastic surgeon for your peace of mind. Best wishes.