Deformity/bulge after tummy tuck - is it fat, scar tissue, pseudobursa or loose skin? Ultrasound? (Photos)

Question

Ultrasound to look for scar tissue, pseudo bursa after tummy tuck. Lower abdomen buldges out I had a tummy tuck 14 months ago. I did have a seroma after my drain came out that was aspirated. I've had a deformity/bulging and pulling sensation ever since. My surgeon has consistently ignored me. We have a portable ultrasound at my work, and I'm wondering if any of this shows scar tissue or an encapsulated seroma. I probably didn't do it right, but here are some images.

Camille Cash, MD · Answer

I'm sorry to hear of the issues you've been experiencing and that your surgeon won't respond.  I encourage you to visit with another board certified plastic surgeon near you who can address your concerns appropriately.  The treatment will vary based on the underlying issue.

Ajaya Kashyap, MD · Answer

Thank you for your query. Based on your limited photographs, a visible bulge in the lower part of your abdomen can be seen. The ultrasounds are difficult to interpret but there can be several reasons for the bulge including loose skin, some fat, scar tissue or a residual seroma. I would recommend a proper ultrasound evaluation by a board certified Radiologist. Please do discuss this with your plastic surgeon or another Board certified plastic surgeon in your area. All the best!

Alan Gonzalez, MD, FACS · Answer

Hello @Energetic147412, thank you for your question. It is important to take into account several aspects among which is the surgical technique applied, and to evaluate if there is anything else at a systemic level. To know what is really happening, a more rigorous test is necessary. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Daniel Barrett, MD · Answer

Dear Energetic147412,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You appear to have some fluid present. Please make a copy and meet with your surgeon to drain this fluid.

Deformity/bulge after tummy tuck - is it fat, scar tissue, pseudobursa or loose skin? Ultrasound? (Photos)

Answers (7)