9 months post-op - What's going on with this heat-induced discoloration after my TT? (photos)

Question

I had a TT with muscle repair about 9 months ago. On a few occasions when I've been hot, my midline developed strange discoloration. It looks almost like deep bruising. It goes away when I cool down and it doesn't pop up every time I'm hot. It's not painful. I still have mild discomfort when I flex or use my abdominal muscles but nothing unexpected and consistently improving over time. Have you ever seen this? Do you know what caused it? Is it anything I should be worried about?

Daniel Barrett, MD · Answer

Dear mcad,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Casey Anderson, MD, FACS · Answer

I do not have a great explanation for this one. I would ask if you potentially had a garment on that was rubbing on that skin more than the surrounding skin. Blood flow issues should be resolved by this time.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  This does happen in a small percentage of patients after surgery and it is safe and should not cause you concern. The discoloration episodes decrease with time so hang in there.

Douglas Taranow, DO, FACOS · Answer

It is hard to say why the skin is hyper-reactive to heat, but the fact that it resolves is a very good sign.  I feel it will resolve with the passage of time (another 6 months).  
It is difficult to laser something which resolves.
Best wishes.
Dr. Taranow

9 months post-op - What's going on with this heat-induced discoloration after my TT? (photos)

Answers (4)

Answer: Redness post heat exposure

Answer: Redness post heat exposure

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9 months post-op - What's going on with this heat-induced discoloration after my TT? (photos)

Answers (4)

Answer: Redness post heat exposure

Answer: Redness post heat exposure

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Recommended reading

Everything you need to know about Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.