Tummy Tuck Revision to Fix Belly Button and Bulge?

It seams that you still have significant skin redundancy and you can pinch much lower abdominal skin. Also, I do agree that your abodminal wall is weak. Not knowing your full medical/surgical history, I recommend to have your surgeon evaluate you for revision abdominoplasty.

#TummyTuckRevision surgery It is difficult to tell from your photos and story exactly what was done but revision would probably help youRevision surgery is unusual but may be desired for several reasons. Most revisions should be done after 9-12 months. One cause for revision surgery are “dog ears” at the ends of the incisions. These are small folds of excess skin that do not flatten over time. They can be excised, suctioned or both.Excess fat or loose skin may require liposuction and skin excision to obtain the best result.

Its normal to have some swelling
following abdominoplasty, but swelling of this magnitude five months following
surgery suggest a structural abnormality of the abdominal
wall.  In this situation a
comprehensive evaluation should be undertaken to determine the cause of the
problem.

It’s important that you return to
your original surgeon for an evaluation. 
This evaluation might require a CT scan to evaluate the integrity of the
abdominal wall.  In light of the
fact that mesh was utilized there’s a good chance that this has become detached
from the abdominal tissue.  Under
these circumstances, surgical revision might necessary to correct this problem.

Have you discussed this with your surgeon(s)? I am sure that this is very upsetting to you. It appears that your muscles have separated but this is an opinion based on very limited information. You may need a more complex operation called a separation of parts but It may be worth attemptinfg the muscle repair one more time.

Thank you for your question. It is difficult, if not impossible, to determine the adequacy of your results since you do not supply any preoperative photos to which to compare. From the picture you did sent it does look like you have an unusual appearance to the belly button, and you demonstrate very clearly that you have persistent rolls of fat that you can pinch along the incision. Additionally, from the verbal description of your surgery, it seems that you did not have a routine cosmetic abdominoplasty, but a more complicated abdominal wall reconstruction. The hernia and diastasis recti repairs can be done with sutures only, or with additional mesh - I am not clear on whether mesh was or was not used. Regardless of technique used for this repair, persistent pain is not an uncommon complaint. My suggestion is to obtain a copy of the medical record, specifically the operative report or dictation, as well as the preoperative photos. You should then address the issue with your surgeon, and if you are unhappy with his/her assessment then go ahead and visit with a Board-certified plastic surgeon to get a formal and bonafide medical opinion. Hope that this helps. Good luck and fare well.