Is a seroma 6 months post op tummy tuck possible? If so, what are the symptoms?

Question

When i get up from laying down my belly is super flat however a few seconds later it starts to puff out into a bulge. What is causing this?

Shim Ching, MD · Answer

It is possible to develop a seroma six months after your tummy tuck surgery.  The description of what happens when you shift from a laying to standing position is suggestive of fluid that could be a seroma.  Please see your surgeon who can best help you.  Generally, we would try to drain the fluid collection with a needle and syringe and restart the use of a compression garment.

Charles Galanis, MD · Answer

Thank you for the question.  What you're describing is not the typical presentation of a seroma.  More likely is asymmetric muscle tightening or focal areas of abdominal wall weakness.  An examination by your primary surgeon is certainly warranted and would help determine the underlying issue.  Hope this helps!

Peter E. Johnson, MD · Answer

It seems to us that a seroma forming as late as six months after tummy tuck a bit unlikely. See your surgeon to see if he can sort out the issue with the bulge you have developed.

Paul J. Leahy, MD · Answer

Thanks for your question. Seromas are actually not that uncommon after TT, but typically they are very small and not noticeable. What you are describing could be a seroma, but I would recommend visiting your surgeon. A simple ultrasound will make the diagnosis. Perhaps any fluid could then be removed w/ small needle? Best wishes.

Ravi Somayazula, DO · Answer

Typically it is not common to have a seroma 6 months after surgery. Seromas can develop as far out as 4-6 weeks. That is not to say that it is not possible, but highly unlikely. If the muscles of your abdominal wall were plicated or brought together at the time of your tummy tuck, it is possible that a certain segment of this repair has come undone, which can also happen. If that is the case, it can present as a bulge that goes away when lying down and becomes prominent as you get up or use your abdominal muscles. To differentiate between a seroma and recurrent diastasis, it is best to be seen in person and evaluated. Typically, this can be diagnosed by performing a physical exam. It is best to be evaluated by your plastic surgeon. Good Luck.Regards,Dr. Ravi Somayazula

Is a seroma 6 months post op tummy tuck possible? If so, what are the symptoms?

Answers (5)