Tummy Tuck and Lipo Swelling Worse After Removing Drains

Question

I'm just under three weeks since having a Tummy Tuck and Lipo on my backside, flanks and outer thighs. I had two drains that were pulled at two weeks because they were draining very little. Less than a week later, I have much more swelling through my abdomen and the swelling from the lipo on my backside seems worse too. Is this normal after pulling drains? I was so happy last week but now I'm a little bummed. Is there anything I can do to help reduce the swelling? I'm already wearing a compression garment pretty much all the time. Thanks!

Robert Colgrove, Jr., MD · Answer

After drains are removed, an increase in swelling is normal. The drains were acting as an outlet for the excessive fluid to be removed. Now that the drains are gone, the fluid is being retained until your body absorbs it. To reduce the swelling, continue wearing your compression garment. Avoid heat but you can apply ice packs to the area. Lymphatic massage is also helpful.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding swelling after a tummy tuck and liposuction following the removal of your drains. It’s quite common for swelling to increase after drains are removed, especially in the early stages of recovery. This is because drains help remove excess fluid that accumulates after surgery, and once they’re taken out, your body still produces fluid, which can temporarily increase swelling.

At three weeks post-op, your body is still healing, and increased swelling can be a normal part of the process. This swelling can occur in both the areas where you had liposuction and the tummy tuck. The fluid buildup is due to the natural inflammatory response and can take several weeks or even months to fully subside.

Here are a few tips to help reduce swelling:

Continue wearing your compression garment: This is key to helping reduce swelling and encouraging your body to reabsorb the fluid.
Stay active: Gentle walking can help stimulate circulation and prevent fluid from pooling.
Elevate the affected areas: If possible, elevating your legs and abdomen can help minimize fluid retention.
Lymphatic drainage massage: This type of massage is often recommended after tummy tuck and liposuction to help move fluid and reduce swelling.
If the swelling becomes excessive, or if you notice other symptoms like increased pain, redness, or warmth, I recommend reaching out to your plastic surgeon to rule out any complications like a seroma (a collection of fluid).

Remember, patience is essential in the healing process. The swelling will gradually improve, but it can take several months to see your final results.

Sincerely,
Dr. Katzen

Steven L. Ringler, MD, FACS · Answer

Swelling following drain removal after a tummy tuck is not uncommon. This could represent simple swelling or might indicate a seroma, which should be treated. It is unusual to develop a seroma in the liposuction area and it most likely that this represents swelling that will resolve on its own. You will want to see your plastic surgeon to make sure that no further intervention is necessary.

Edmond A. Zingaro, MD · Answer

You need to return to your plastic surgeon for an evaluation to determine whether or not something needs to be done.  Chances are you are fine but make a follow-up appointment now to be sure.

Jack Gelman, MD (retired) · Answer

This may well be "normal,' but should be evaluated. See your surgeon. The internet is no substitute for a thorough examination and evaluation by a board-certified plastic surgeon.

Tummy Tuck and Lipo Swelling Worse After Removing Drains

Answers (5)

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