I had a tummy tuck 8 months ago, along my incision line and since surgery, I have 4 hard nodules under the skin. I assume these are from fat necrosis , as I did experience this post-op (small area). Maybe a mass of dead tissue?? So, 1st I am wondering if this is or can be an issue health-wise, and also how can I get rid of them? Size is maybe dime-nickle size? Does massage help? Concerned as its been a while since surgery to still have these. Thank you in advance!
Answer: Hard Nodules 8 Months Post-Op Likely Due to Fat Necrosis, But Are Usually Not a Health Concern Thank you, lynn55, for your question regarding the hard nodules you're feeling under your incision line 8 months after your tummy tuck. Based on your description and history of experiencing fat necrosis after surgery, it’s likely that these nodules are areas of fat necrosis, which occur when fat cells die due to a lack of blood supply. These hardened areas can form small lumps or masses of dead tissue under the skin. Health Concerns: Fat necrosis is usually not a serious health issue. While it can feel uncomfortable or concerning, it is generally a benign condition that does not pose a long-term health risk. However, if the nodules change in size, become painful, or show signs of infection (redness, warmth, or discharge), you should follow up with your surgeon to ensure there is no underlying problem. How to Get Rid of Them: Massage may help soften the nodules over time and encourage the tissue to break down. Some patients find that regular, gentle massage of the affected area improves the texture of the skin and reduces the size of the lumps. However, in some cases, the nodules may persist despite conservative treatments like massage. If the nodules do not resolve on their own or if they are bothersome, surgical removal is an option. Your surgeon can remove the areas of fat necrosis through a minor procedure. I recommend discussing your concerns with your surgeon, who can examine the nodules and provide the best course of action for your specific case. Sincerely, Dr. Katzen
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Answer: Hard Nodules 8 Months Post-Op Likely Due to Fat Necrosis, But Are Usually Not a Health Concern Thank you, lynn55, for your question regarding the hard nodules you're feeling under your incision line 8 months after your tummy tuck. Based on your description and history of experiencing fat necrosis after surgery, it’s likely that these nodules are areas of fat necrosis, which occur when fat cells die due to a lack of blood supply. These hardened areas can form small lumps or masses of dead tissue under the skin. Health Concerns: Fat necrosis is usually not a serious health issue. While it can feel uncomfortable or concerning, it is generally a benign condition that does not pose a long-term health risk. However, if the nodules change in size, become painful, or show signs of infection (redness, warmth, or discharge), you should follow up with your surgeon to ensure there is no underlying problem. How to Get Rid of Them: Massage may help soften the nodules over time and encourage the tissue to break down. Some patients find that regular, gentle massage of the affected area improves the texture of the skin and reduces the size of the lumps. However, in some cases, the nodules may persist despite conservative treatments like massage. If the nodules do not resolve on their own or if they are bothersome, surgical removal is an option. Your surgeon can remove the areas of fat necrosis through a minor procedure. I recommend discussing your concerns with your surgeon, who can examine the nodules and provide the best course of action for your specific case. Sincerely, Dr. Katzen
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August 14, 2024
Answer: Very hard nodules under incision Dear lynn55, I understand your concern. Generally speaking, this can be caused by sutures used to close the incision. However, without a proper assessment, it would be difficult to determine what is 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
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August 14, 2024
Answer: Very hard nodules under incision Dear lynn55, I understand your concern. Generally speaking, this can be caused by sutures used to close the incision. However, without a proper assessment, it would be difficult to determine what is 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
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July 25, 2024
Answer: Nodules You may have more nodules of areas of fat necrosis which will require an excision to be removed. Massage will not do much. Go back to your surgeon and be checked.
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July 25, 2024
Answer: Nodules You may have more nodules of areas of fat necrosis which will require an excision to be removed. Massage will not do much. Go back to your surgeon and be checked.
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July 19, 2024
Answer: Common knots after tummy tuck I've seen this quite frequently after tummy tuck procedures during the course of my career and it is a relatively common occurrence that can have multiple explanations. While it is certainly possible that these could represent localized areas of fat necrosis, another likely explanation is excessive scar tissue formation around the sutures used in the deepest layer of your surgery that are usually placed to hold the tension of your skin closure. I don't know the details of your surgical procedure, but perhaps large sutures were placed in that deep layer. Some people form more scar tissue than others, so there's no way of knowing or predicting when this is going to happen, or to whom. Most of the time, these knots of scar tissue soften over time and get smaller, especially with massaging. However, if they persist beyond a year, or are bothersome, they can be surgically excised through small incisions. Good luck.
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July 19, 2024
Answer: Common knots after tummy tuck I've seen this quite frequently after tummy tuck procedures during the course of my career and it is a relatively common occurrence that can have multiple explanations. While it is certainly possible that these could represent localized areas of fat necrosis, another likely explanation is excessive scar tissue formation around the sutures used in the deepest layer of your surgery that are usually placed to hold the tension of your skin closure. I don't know the details of your surgical procedure, but perhaps large sutures were placed in that deep layer. Some people form more scar tissue than others, so there's no way of knowing or predicting when this is going to happen, or to whom. Most of the time, these knots of scar tissue soften over time and get smaller, especially with massaging. However, if they persist beyond a year, or are bothersome, they can be surgically excised through small incisions. Good luck.
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July 15, 2024
Answer: An in person consultation would be better. It's hard to assess you without photos, and even then, it's impossible to assess the feeling of the scar tissue and quality of it over photos. There can definitely be different things causing this: scar tissue that creates the "lumps", permanent stitches that can be felt over the skin, granulomas. It's best to ask your surgeon what they think, and if it's something expected from your healing process.
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July 15, 2024
Answer: An in person consultation would be better. It's hard to assess you without photos, and even then, it's impossible to assess the feeling of the scar tissue and quality of it over photos. There can definitely be different things causing this: scar tissue that creates the "lumps", permanent stitches that can be felt over the skin, granulomas. It's best to ask your surgeon what they think, and if it's something expected from your healing process.
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