Tummy tuck revision after seroma and abscess
Thank you for the photos. You have a bulge just above your suprapubic incision and it is difficult to know without an examination if this is residual fat or you developed a bursa (a pocket where the seroma was and this prevented the abdominal flap from healing down to the fascia or muscle cover. If it is excess fat, than simple liposuction will correct the problem. If it is a serous pocket, than you would need the incision opened up partially, the lining of the seroma pocket removed, or scored to create raw surfaces to promote adhesion and healing. I would suggest liposuction of your flanks as well to better define your waist line. Good luck.
Reasons to undergo a tummy tuck revision with liposuction rather than scar revision
Tummy tuck liposuction is a procedure that has become more and more common in my Beverly Hills plastic surgery practice. Patients who have undergone a tummy tuck by another surgeon may wish to have certain parts of their tummy tuck corrected. In this particular case, i would recommend a tailored liposuction sculpting procedure to improve contour without invasive surgery.
Thank you for your question.
I hope your second surgery went well and that you are happy with the results. Make sure you give yourself time to heal.
Prior to the year 2010, my answer would have been yes. Today, I perform a drainless tummy tuck procedure called progressive tension abdominoplasty. This approach to a tummy tuck as you can see requires no drains. In someone who had a seroma in the past, I would use this approach since the old approach did't work. If your surgeon is versed in this new technique you should have your revision. The drainless approach eliminates the dead space under the flap and although it is not a sure fire way to avoid seromas I have not seen one since I have started this technique.
You will get better result with revision
You have extra fatty tissue and scar over the incision line. The scar is pulled down and will need revision. You will need liposuction and scar revision .
Tummy tuck revision can be worth it
The extra bulge is a rounding up of the lower flap from the seroma, and will do very nicely with revision of the scar and removal of the small remaining skin excess. The risk of complication is much lower by comparison and the improvement in contour for the relatively small effort will be worth the revision.
Best of luck,
Scar revision after tummy tuck
The infection could have caused some scar tissue which can contract resulting in your bulge. I believe you could use a revision of your tummy tuck scar, and possibly some liposuction of the lower abdomen and flanks. I am not sure that a flankplasty would be of much benefit. As mentioned, you need to go over this thoroughly with your surgeon.
Should I Have a Tummy Tuck Revision?
Based upon your posted photos I would recommend a revision of the scar. Either under local anesthesia or local + sedation. Best of luck.
Seromas are, unfortunately, a not uncommon problem after abdominoplasty.
It appears you are a good candidate for a revision, and it should be a much lesser operation than your original surgery.
Do you need a flankplasty? Usually that would be reserved for loose skin in the flank area, where you do not appear to have much loose skin. Discuss carefully with your surgeon.
You might benefit from liposuction in a few spots as well.