Hard to know what bulging upper abdomen is
There are many reasons why you could be noticing changes in your shape at this time. Although there may not be a drainable collection of fluid, fluid may still fill the tissues, much like when you bump or bruise yourself and the area swells. Because lymphatic channels can be disrupted from a tummy tuck, this can sometimes take several months to resolve. Message can help.
Perhaps there was some differential in the tightening of the muscle layer. This also can equilibrate with time. Maybe a stitch tore out. Whatever the answer, I would give it more time to see if it begins to improve on its own. If it does, I would let time fix the problem. If it isn't getting any better by 6 months after your operation, another operation might be needed to correct the problem.
Exclude fluid collection and muscle weakness
An upper abdominal bulge could be either a fluid collection or some loose abdominal tissues (assuming this is a new bulge and it was not present before surgery). A simple ultrasound will detect any fluid collection. Clinical exam could detect weakness of the muscle. CT scan is the ultimate test to examine all these tissues if everything else fails.
Bulging and firm area in the upper abdomen after a tummy tuck
Tummy tucks are a very popular and effective way to contour the abdomen. In our practice, we include liposuction with every tummy tuck. We strongly feel that liposuction is important technique that allows us to contour your body and reach areas of the abdomen that we otherwise would not be able to get to with a tummy tuck alone. Patients who undergo this procedure must understand that there is a significant recovery process. Patients will experience swelling and bruising that can persist for up to 6 to 8 months. In our practice, we provide our patients with the two separate compression garments that specifically apply pressure evenly to the areas that have been treated and also provide support for the patient's comfort.
It is possible that the area you are feeling can be a small area of swelling, a small amount of bulging in the muscles, or your body's reaction to sutures or other materials that were used during surgery. Your best bet at this point is to be evaluated by a board-certified plastic surgeon who can examine you and determine what the cause of this mass may be. They will then be able to recommend a surgical procedure that can help eliminate this lump.
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Continue to be seen frequently by your plastic surgeon
There are several possibilities to explain what is going on. These range from simple to complex. I would advise you to continue to follow up with you plastic surgeon and follow the instructions given. There are imaging studies that might be helpful which include ultrasound and MRI. I hope this helps!
Ultrasound or MRI needed.
The presence of a significant abdominal bulge several months
following abdominoplasty surgery, should be aggressively investigated.Especially if the bulge wasn’t present in the
immediate post-operative period.This
type of bulge could occur for a variety of reasons including swelling, seroma
formation, encapsulated hematoma, residual muscle weakness, recurrent
separation of the muscles, intra-abdominal fat, excess subcutaneous fat and
possibly fat necrosis.
these circumstances, it’s appropriate to obtain ultrasound and possibly MRI
studies.Depending upon the results,
revisional surgery may be indicated.For
these reasons, it’s important to consult your plastic surgeon.Your surgeon should be able to formulate an
appropriate treatment plan.
Bulging and hard upper abdomen after tummy tuck
On rare occasions, I have seen the compression garments "gather" around your midsection causing a tourniquet like effect with swelling above this area similar to the swelling seen above a tight leg stocking
On other occasions, this swelling is actually localized fat and may best be treated with additional liposuction which is not advised at the initial surgical procedure due to concerns with vascualarity and healing
At this point, it may be worth a second opinion and possibly obtaining an imaging study to evaluate the cause for your bulging
I am not sure of the timing when this question was posted. Is this two years later? If so, it may be scar tissue or weakness in the upper abdomen. Sometimes a CT scan can be very revealing.