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Are lumps common 12 weeks post tummy tuck?

These lumps could be several things - They could be hematomas or seromas (fluid collections below the skin). The could be fat necrosis (small hard lumps of fat that hasn't survived). It could represent sutures or part of the muscle plication. It could even (much less likely given the presentation and location) represent a hernia. The only way to be sure is to see your plastic surgeon and have a conversation and examination with him or her. Also important parts of the story would include when these issues first came up, are they getting better, etc. It may be something that will resolve on its own over time.

Clinical Context

Lumps at 12 weeks are usually related to normal healing - firm areas from fat necrosis, small fluid pockets (seromas), or thickened suture knots are all common and often soften over months. True hernias are uncommon at this stage. Because these causes feel different on exam, your surgeon can usually tell which one you have by touch alone, sometimes confirming with an ultrasound if the diagnosis is unclear. Most resolve without treatment, but persistent, growing, or painful lumps should be checked in person.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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