"Swell Hell" after Tummy Tuck

Question

I was complaining I had a 37 inch waist, and was very swollen only a few weeks post op. Well from last night to today I have a 42 inch waist and feel like when I walk I am "swooshing" if that makes any sense. I also have a faint/dull pain in my lower left side of my stomach but I am still healing.... Any thoughts? I have a call out to my surgeon but sit/wait and worry.

Otto Joseph Placik, MD · Answer

You didn't mention how early you are out of surgery.  This is normal up to a few months after tummy tuck.  Call your surgeon.

James Knoetgen, III, MD · Answer

"Swell Hell" is a term used colloquially to describe the period of significant swelling that can occur after a tummy tuck surgery. Swelling is a normal part of the body's healing process, and it's particularly common in the abdominal area after this type of procedure. Here's some information on why "swell hell" happens and what you can do about it:
1.	Inflammation and fluid retention: The body reacts to surgery by increasing inflammation and fluid retention in the affected area as part of the healing process. This leads to swelling, which can be more pronounced in some individuals.
2.	Disruption of lymphatic channels: The tummy tuck procedure involves disrupting the lymphatic channels in the abdominal area, which can impair the body's ability to drain excess fluid efficiently, contributing to swelling.
3.	Limited mobility: During the initial recovery period, patients are often advised to limit physical activity and rest, which can lead to fluid pooling in the lower body and exacerbate swelling.
4.	Gravity: Gravity plays a role in the accumulation of fluid, particularly in the lower parts of the body such as the abdomen, hips, and legs.
While swelling after a tummy tuck is normal, there are steps you can take to help manage it:
1.	Follow post-operative instructions: It's crucial to follow your plastic surgeon's post-operative instructions closely, including wearing compression garments as recommended and avoiding activities that may exacerbate swelling.
2.	Stay hydrated: Drinking plenty of water can help flush out excess fluid from your system and promote healing. However, be sure to follow any specific instructions provided by your plastic surgeon regarding fluid intake.
3.	Elevate the affected area: Elevating your legs and keeping your torso slightly elevated when lying down can help reduce swelling by aiding in fluid drainage.
4.	Light movement: Engage in gentle movement and walking as advised by your plastic surgeon to promote circulation and lymphatic drainage. Avoid strenuous activities that could increase swelling.
5.	Massage: Gentle massage techniques recommended by your plastic surgeon can help stimulate lymphatic drainage and reduce swelling.
It's important to communicate with your plastic surgeon if you have concerns about swelling or if you experience sudden or severe swelling accompanied by other symptoms such as pain, redness, or fever, as these could indicate complications that require medical attention.

Robert Brueck, MD · Answer

This sounds like you may be developing a seroma.A seroma is a collection of fluid that develops post tummy tuck.Usually your surgeon will aspirate it in his office.so I would return to see him.It is nothing to be alarmed about.

David Bogue, MD · Answer

Postoperative swelling after a tummy tuck can be attributable to many causes. There is a "normal" swelling which is essentially fluid in the skin and fat of the abdominal tissue. This can take several months to dissipate. An actual fluid collection (known as a "seroma") can form between the abdominal skin and the muscles which is often described as a "swooshing" feeling. This typically occurs following drain removal and is treated with a needle aspiration in the office. Some patients will have significant constipation from narcotic pain medications leading to a large distention in their abdomen. Halting the narcotic pain medication and the addition of stool softeners will help with this distention. Regardless of cause, a follow up visit with your surgeon should be able to identify the reason and prescribe the appropriate course of action.

Stephen Delia, MD · Answer

If you had a tummy tuck, the "swooshing sound " is probably a seroma fluid  collection that can be drained by your surgeon.

Francisco Canales, MD · Answer

It is difficult without knowing what surgery you had to give you proper advice. It almost sounds like you have some fluid in the abdomen (seroma) that needs to be drained. Contact your surgeon as soon as possible.

Erel Laufer, MD · Answer

Sounds like you possibly developed a seroma  .

	Talk to your surgeon ,he'll help you with it if indeed it is a fluid collection.

"Swell Hell" after Tummy Tuck

Answers (7)