Help. Is this induration or something more? (Photo)

It is normal to have delayed induration and swelling after resolving a fluid collection (seroma).  In our practice we check the area for fluid that doesn't show up with needle sticks, using diagnostic ultrasound.  It's important to make sure there is no residual fluid in this area, as it can lead to a long term bulge.  If there is in fact no retained fluid, in all likelihood your results will continue to return to and even improve over what you observed during your first four weeks of recovery.  So yes, the induration is very normal at this point!

I am sorry to hear about your concerns after tummy tuck surgery.  Your plastic surgeon will always be your best resource when it comes to an accurate assessment, advise, and/or meaningful reassurance. However, having said that, I would be concerned ( based on your history and description) that a fluid re accumulation has occurred. I would suggest that you ask for a follow up with your plastic surgeon, earlier than already scheduled if necessary, for repeat evaluation. Best wishes.

Seroma formation is perhaps the most common complication from a tummy tuck.Since you had one earlier, I would say there is a high chance it has recurred.I personally treat seromas aggressively.I have also started leaving my drains in longer than I have in the past. That has helped bring my seroma rates down to close to zero. Patients beg to have the drains taken out, but the difference between one and two days has made a vast difference in patients not needing to come back to be stuck with needles.When I do manage a seroma, I do so judiciously, often seeing the patients in the office every day.If not drained and left in place for a long time, a seroma would form a capsule, sometimes making it permanent.When that happens, they often need to be surgically excised.It's also important to make sure you don't have an infection.Stay in close contact with your plastic surgeon.Best of luck,Mats Hagstrom, M.D.