I underwent a tummy tuck three months ago, and initially, my belly appeared flat while wearing the compression garment for the first six weeks. However, after discontinuing the garment, I noticed a bulge above my belly button, which has progressively increased in size. It now appears deformed and quite prominent. My plastic surgeon sent me for an ultrasound, which revealed no fluid or hernia. What could be causing this issue, and what are the recommended options for repair?
Assuming you had fascial plication to correct diastasis rectus deformity (where your abdominal muscles were stitched together to flatten your belly), a recurrence of the deformity can occur later if your fascia is not strong. By six weeks, the wound healing should be sufficiently strong and not rely solely on suture strength. However, some individuals may have thin or weak fascia, which can lead to tearing or stretching of the tightened fascia and the formation of a bulge. Abdominal obesity can also increase the likelihood of this problem. If your plastic surgeon confirms this issue, you should discuss whether a revision using mesh to reinforce the fascia is a suitable option for you.
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