I've Had a Hematoma for 4 Months. Above the Belly Button and Upper Stomach That Bulges Out. Will Lipo Help This Area? (photo)

Question

I had a hyperthrophy scar revision under my breast n back and a full TT 4 months ago. Same night, I had blood leaking for hours in my back. Doctor removed the blood clot, my breast turned black! My top stomach was bulged. He treated me for a seratoma for 3 weeks after drains were removed, twice a week for aspiration. He sent me for an ultrasound, tells me I have a resolving hematoma between skin and muscles. He suggest lipo. Will this help my bulge or wrinkle me more? Do I need scan, a revision?

Bhupesh Vasisht, MD · Answer

This is tough to tell from the photos, but I doubt that four months later the collection is drainable.  If a needle aspiration of the fluid is possible, then you may consider leaving in a drain percutaneously placed by a radiologist.  Otherwise, i would let this settle and then bring you back and perform a more definitive correction of this in the OR.

	Good luck

	Dr. Vasisht

	South Shore Plastic Surgery

Sacha Obaid, MD · Answer

It sounds like you have had a rough go of things.  My next step would be to figure out from the ultrasound or other imaging including a CT scan, how big is the hematoma and whether any of it is liquid or not.  If the blood is still mostly liquid, it can be removed with lipo or simple aspiration in the office.  If it is a thick organized collection of scar tissue, liposuction may not remove it and you may need to have a revision tummy tuck. I would discuss these options with your physician.  Good luck.

Kenneth Hughes, MD · Answer

If the ultrasound showed hematoma, the next question should be : how large is the collection?  If this is large enough to drain or remove, then this should be done.  Kenneth Hughes, MD Los Angeles, CA

Robert Brueck, MD · Answer

If there is still a bulge 4 months out and it is firm you could also consider heat,massage and ultrasound which should help this resolve without surgery.

Curtis Wong, MD · Answer

Dr. Swift had great comments as you tummy bulge could be from laxity of your upper abdominal wall so you do need to have it carefully and thoroughly evaluated before jumping in with liposuction.  I find this problem in patients who have a very large, protuberant tummy that does not go flat when laying supine.  Tightening of the bottom pushes it out on top.  If this is the case, a reoperation will be needed, assuming your tummy does go flat when laying down supine on your back.

I've Had a Hematoma for 4 Months. Above the Belly Button and Upper Stomach That Bulges Out. Will Lipo Help This Area? (photo)

Answers (10)

Answer: Bulge post lipo

Answer: Bulge post lipo

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Answer: Options following a tummy tuck with persistent bulges...

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I've Had a Hematoma for 4 Months. Above the Belly Button and Upper Stomach That Bulges Out. Will Lipo Help This Area? (photo)

Answers (10)

Answer: Bulge post lipo

Answer: Bulge post lipo

Answer: Options following a tummy tuck with persistent bulges...

Answer: Options following a tummy tuck with persistent bulges...

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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.