Stomach Looks Larger After Tummy Tuck Procedure

I had a tummy tuck with muscle repair almost 4 months ago. My stomach was generally flat before the surgery; I only had massive stretch marks and "loose" skin from 4 children. There was no liposuction needed. Right after surgery my stomach was nice and flat, but about 6 weeks after (once I stopped wearing compression garment) my stomach started to developed a pooch. It's flat along the inciscion line and then about an inch from that all the way up past my belly button, I look like I have a 3 month pregnant stomach. It's also very hard and when I flex my stomach muscles it is very hard,not soft, to present a fatty area. My surgeon said it was just the anatomy of my muscles. I'm not overweight and have not changed in weight since my procedure more than maybe 2 pounds. Is there a problem? I feel worse now then I did before.

Abdominal bulge after tummy tuck

Thanks for your question - It is difficult to say without an examination. Abdominal bulges that occur after your initial healing can represent several things. It may be a fluid collection that has occurred after your drains were removed (this could include hematoma or seroma. These will usually resolve on their own but may require drainage. Your description of the area being hard point more towards a hematoma. It may also represent a separation of your muscle repair. This can be something that may need surgical revision. It may just be residual swelling within the tissue itself. Be sure to address your concerns with your plastic surgeon. I hope this helps.


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