Is it muscle inflammation or did I bust a stitch internally? (Photo)
Doctor Answers 3
Did I bust a stitch internally after tummy tuck surgery?
I am sorry to hear about the problem you are experiencing. Early out of tummy tuck surgery, the concern with your description would be, the potential for disruption of sutures that are holding the abdominal wall muscles together in the midline. If enough disruption occurs, the result could be separation of the abdominal wall muscles and localized or complete, abdominal wall laxity ( similar to preoperative situation).
In general, it would take a significant amount of pressure to “tear" the muscle repair after tummy tuck surgery. This event would likely be associated with significant discomfort. A change in your physical examination, such as increased swelling, bleeding, a new onset "bulge" would also be likely.
Generally speaking, abdominal wall muscle plication performed during tummy tuck surgery is quite secure; disruption is very unusual. You will be best off following up with your plastic surgeon who will be your best resource when it comes to accurate assessment, advice, and/or meaningful reassurance.
Reason for weird post op swelling
There are any number of things that could be causing your asymmetric swelling. Without assessing you in person, it is literally impossible to say. For now, I would probably advise you to wait until you are 6 months post op and then reassess. So sorry that you are experiencing this.
Tummy tuck "swelling" options
Thank you for the question and photos. Sometimes these issues are hard to define in terms of what exactly is occurring. There are several potential sources of "swelling" including:
I would definitely give it plenty of time before you make any decisions. Perhaps a little liposuction revision would be all that is needed to camouflage that area.
Dr. Remus Repta