Cosmetic Surgery Blog

Q: Bulge Above Belly Button - 2.5 Months Post Full Tummy Tuck, Muscle Repair & Lipo

Submitted by Q-A from clee on Wed, 06/15/2011 - 13:50

Since the bandages came off I noticed upper abdomen bulge, mostly just above my BB. Lower abdomen has gone down over the last couple of weeks but no change on the top. I dont wake up flat since I have not been wearing my CG. I know when I swell (this area gets even bigger, which is at the end of the day. I know this is normal. The upper part feels like muscles but lower feels different, much softer. PS said muscles looked fine & did not feel ultrasound was needed. Would appreciate ur opinions.

A: Radiographic imaging would better clarify the problem

Radiographic imaging with ultrasound or CT scan would better clarify the problem. If this is causing you distress, it might be worthwhile discussing it with your surgeon.

Q: Had Full TT 3 Months Ago. Tummy Bulging W/hard Blood, How Do I Liquify This?

Submitted by Q-A from clee on Wed, 06/15/2011 - 09:46

A: Might require imaging

To have an abdomen bulging with blood 3 months after abdominoplasty is most unusual. Radiographic imaging by way of ultrasound or CT scan may clarify the underlying problem. Best to see your surgeon for a reassessment.

Q: Mesh vs. Tummy Tuck Method for Laparoscopic Repair of Diastasis Recti, Which Would Be Best?

Submitted by Q-A from clee on Wed, 06/15/2011 - 09:39

I have to make a decision to have Laparoscopic repair of diastasis recti with mesh v/s tummy tuck method. My diastasis recti is not so big (2.5cm) but I have symptoms. I have a 32 inch waist now. I am 145 lbs, 5ft 5inches, male. What are the pros and cons of both methods? Does anyone have before and after photos of laparoscopic repair of diastasis recti patients? Thank you.

A: Depends on whether you have excess skin and fat

If you do not have excess of abdominal skin (pannus) - a laparoscopic mesh repair from the internal abdomen (peritoneal) side of the abdominal wall should yield excellent results. However, if you do have an abdominal pannus, a traditional abdominoplasty with rectus plication will yield excellent results.

Q: If You Are Suppose to Walk As Much As Possible After Tummy Tuck Surgery. What About During the Night.

Submitted by Q-A from clee on Wed, 06/15/2011 - 09:27

If you are suppose to walk as much as possible after surgery. What about during the night. Should you get up every hour or two and walk. If so, how long should you do that.

A: Walking is encouraged to prevent phlebitis and DVT

Walking is encouraged to prevent phlebitis and DVT. It does not take more than a light stroll several times in a day. Strenuous activity is to be discouraged as this may bring on wound healing problems. Waking yourself from a night’s restful sleep to walk is also not necessary as your daytime activities will be sufficient in preventing complications.

Q: Why is This Belly Button So Dark and with a Buldge?

Submitted by Q-A from clee on Wed, 06/15/2011 - 09:10

Hello All, I am 10 weeks post op of TT with muscle repair and Lipo to the flanks and I am very displeased with the appearance of my BB. I have posted picture of what my BB looked like before surgery and after. I have a weird buldge in the upper portion the belly and the whole area inside and out looks very dark. I'm wondering if this is normal or needs a revision or can't be fixed? Thank you so much in advance for your answers! :)

A: Preoperative photos suggest that your bb is darker

Your preoperative photos suggest that your belly button skin is slightly darker than your abdominal skin. Since the new periumbilical area is really from your upper abdomen (lighter skin) it gives greater contrast with the darker umbilical area. Furthermore, the increased size of the new umbilicus opening gives it greater visibility. I believe your bulge as well as the light skin / dark umbilicus can be improved by revising the scar around the belly button to a smaller dimension. It would be worthwhile to discuss this with your surgeon.

Q: Alternative Approach to Correcting Male Gynecomastia Deformities?

Submitted by Q-A from clee on Wed, 06/15/2011 - 07:06

I would really appreciate any advice anybody could offer. Last year I received gynecomastia surgery. The results are not sightly and I'm looking into corrective surgery. One of my nipples is very inverted (the nipple itself), while the other side seems to have experienced an aerola contour deformity (looks weird as I move around). Many MDs on this site recommend fat grafting, but another doctor I spoke to swears by a one time, fat flap sculpture, dynamic technique to permanently resolve.

A: Revision must be judged from risk/benefit standpoint

Revision must be judged from risk/benefit standpoint. You provide a good photo but an examination is necessary to determine maturity and mobility of the tissue planes deep to your areolae before a surgical plan of correction can be proposed. Visit a reputable experienced board certified plastic surgeon for another opinion.

Q: I Am Having a Tummy Tuck, Should I Also Have Lipo?

Submitted by Q-A from clee on Wed, 06/15/2011 - 04:55

i am 5'4, 122 lbs. i have some love handles on my back and would like to have a smaller waist. i am also having a hysterectomy and pubovaginal sling by two other surgeons.

A: Liposuction of the flanks would yield an enhanced result

Liposuction of the flanks at the same time as abdominoplasty would yield an enhanced result and is safe if confined to this region. If the remaining abdominal procedures are uncomplicated, adding this localized region of liposuction to your procedure should be safe.

Q: I Had a Tummy Tuck and my Doctor Did Not Stitch my Muscles, Is That Normal?

Submitted by Q-A from clee on Wed, 06/15/2011 - 04:45

A: Separation of the muscle (diastasis) is treated by suturing the muscles

Separation of the muscle (diastasis) is treated by suturing the muscles during abdominoplasty. However not all patients have this problem. If you are dissatisfied with your results you might consider discussing this with your treating surgeon or seeking the opinion of another a board certified plastic surgeon.

Q: How Do I Tell The Difference Between Scar Tissue Or Left Over Fat After Gynecomastia Correction?

Submitted by Q-A from clee on Wed, 06/15/2011 - 03:19

I had gynecomastia corrction (lipo + excision) 7 weeks ago and am still very puffy. Is this scar tissue or left over glandular/fat the PS dodn't remove, as I'm far from flat by the pics.

A: It is still too early to tell if revision will be necessary.

It is still too early to tell if a revision will be necessary. Your photos are not labelled as to pre and post op. Assuming the photo on the left is preoperative, it appears as though you started with excess skin. It often takes several months following glandular resection for the skin envelope to contract. Unfortunately, not all patients will achieve a smooth pleasing contour and may require a secondary revision for the excess skin. Give it more time.

Q: Puffy Nipples, Not Gynecomastia

Submitted by Q-A from clee on Wed, 06/15/2011 - 03:08

i had a consult with a plastic surgeon yesterday and he said that the gland under my nipples is very small. And that evey man has a little bit of gland and its not gynecomastia. You cant feel it unless i contract my muscles. And its about the size of the peanut. But its still the cause for my puffy nipples, because i have no fat. So i dont know what to do. Isit still gynecomastia but just a very mild case. and i need to only have a very small amount removed. Ive had it for 6 years now.

A: You are describing a very mild form of gynecomastia

You are describing a very mild form of gynecomastia. When confined to the areola, a reduction in the size of the areola and resection of the tissues just deep to its surface is usually sufficient to remedy the situation.