Upper tummy bulge - can I do anything about this? (Photo)

Question

I am 9 months post op from a Fleur-de-Lis Abdominoplasty. A few months ago, I have started to have a bulge on my upper abdomen. The picture of the flatter tummy was taken 3 months post op, the other one was taken recently. I was wondering what is the most likely cause and if there is something I can do better about it. My weight is the same as when the first picture was taken.

Camille Cash, MD · Answer

Thank you for your photos and question.  If your weight has stayed the same the bulge may indicate that your muscle repair has failed in the upper abdomen.  I encourage you to visit with your surgeon for an examination.

J. Timothy Katzen, MD, FACS · Answer

Thank you for reaching out with your concerns about an upper tummy bulge nine months following your FL tummy tuck. Your pictures are quite informative and help in assessing the situation.
From what is visible, the bulge could either be a collection of fat or potentially a hernia. My first recommendation is to consult with your original surgeon for a precise evaluation. If a hernia is suspected, an ultrasound might be necessary to check for any fascial defects.
In case it's not a hernia, we're possibly looking at either localized fat accumulation or a weakened abdominal wall. If a fascial plication (muscle tightening) was not performed during your FL tummy tuck, this could potentially contribute to weakening of the fascia and the subsequent bulge.
Therefore, revisiting your plastic surgeon for a thorough assessment is crucial. An ultrasound may indeed be required to determine the exact nature of the bulge. If the ultrasound results are negative, implying no hernia or significant fascial defect, then the focus might shift to lifestyle modifications such as caloric restriction and increased physical activity to address the issue.
I hope this guidance helps you in taking the next steps to resolve the upper tummy bulge you're experiencing post your FL tummy tuck.
Sincerely,
Dr. Katzen

Andre P. Marshall, MD · Answer

Hi Livoie, 
Thank you for your questions and pictures. An upper abdominal bulge after tummy tuck can be caused by loosening of the muscle repair, hyperplasia (growth) of remaining fat cells in the upper abdomen an increase in visceral fat, or just normal bloating/swelling. You will see swelling that comes and goes for several months to well over a year after any tummy tuck. There is no definitive answer without a formal exam. We do recommend you speak with or ask your surgeon directly. Give your body ample time to heal along the way. Best wishes during your continue recovery. 
Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Daniel Barrett, MD · Answer

Dear Livoie,
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

Connie Hiers, MD, FACS · Answer

I would go back to your surgeon and be examined to see if the muscle tightening has weakened or come loose.

Upper tummy bulge - can I do anything about this? (Photo)

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Upper tummy bulge - can I do anything about this? (Photo)

Answers (10)

Answer: Upper tummy bulge

Answer: Upper tummy bulge

Answer: Abdomen

Answer: Abdomen

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Everything you need to know about Tummy Tuck

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