I'm early in the healing stage and swelling is a normal progression, but I'm a bit worried. Is this just normal swelling or is this like redistribution of fat? I look significantly fuller allover since having my TT 2 wks and 2 days ago. There is no definition in my av muscles whatsoever and before I had a bit, it seems that the mommy pooch I had near my BB is now lower and sitting right above my Pubic area which is very frustrating! Again I'm hoping this is just swelling, but its discouraging!
Doctor Answers 5
Healing and Recovery Following a Mommy Makeover
The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair. The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.
Healing after a #tummytuck will require time. Some patients are out of bed and walking the night of surgery and every hour while awake. I allow my patients to return to work at one to two weeks with 14 days preferred. However, no lifting or straining. At three weeks, increased level of activity and full with no restrictions, at 6 weeks. Also some severe scars can be treated with re-excision, laser, kenalog/5-FU injections, creams, silicone strips and other methods to reduce and improve healing. Additionally, scar therapy with scar maturation products (e.g. BioCorneum or Embrace) are suggested for managing scars. However, we recommend you wait to use scar improving products until a few weeks following your surgery.
As I advise my patients, if your work keeps you sedentary, you may return whenever you feel up to it. If your work is strenuous, wait until your work activity does not cause any superficial pain.
Some employers will modify a person’s job duties so they can back sooner, but without physical activity. Our office can provide our patients with a note stating they are not to engage in strenuous activity for a specified period of time. The note will not disclose what procedure they have underwent. Therefore, you may have to request a similar note from your surgeon if you are not independently employed. I recommend avoiding heavy lifting and strenuous #activity for six weeks following your surgery. With that said, it may help you plan your return to work accordingly.
As for heavy lifting and other #strenuous #activities, it should be avoided for until you have clearance from your surgeon. You may, however, do normal activities at any time if they cause no pain or #discomfort. Let your body tell you what you can or cannot do. Aerobic exercise will raise your blood pressure, which could cause late bleeding and harm your result. Once you begin exercising again, start gently and let your body tell you what it can tolerate. Don’t rush!! If you have concerns about your healing, or pain that you question to be unusual, it is important to call your plastic surgeon to discuss these further asked to be examined.
Concerns after Tummy Tuck Surgery?
Although your concern and “discouragement” is understandable, it is much too early to evaluate the end results of the procedure performed.Generally, it takes many months for swelling to resolve after tummy tuck surgery and it may take up to one year (or greater) for complete skin redraping to occur.
I hope this helps.
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Normally swelling peaks at three days and resolves by ten days. In a TT the interruption of vessels and lymphatics at the suture line create a delay in drainage of the wound just above the incision. Fixation of the immobile scar also causes the skin to pile up over the incision. 6 to 12 months after surgery when the scars have matured, the suture line will become mobile and slide, releasing the pile up and smoothing out the area. Minor revisions can be made safely at that time. Best wishes. Knowledge is power. Luis F. Villar MD FACS
Abdominal swelling after TT and BA
Sometimes, fluid can collect called a "seroma" and may need to be evaluated for aspiration, so talk to your plastic surgeon about that possibility. If not, then patience will allow you to see your final result.!