Persistent abdominal bulges
following abdminoplasty can occur for a variety of reasons. When this situation arises a careful
analysis of the problem is necessary before proceeding with revisional
surgery. Possible explanations
include inadequate resection of excess skin, inadequate tightening of the
muscles, persistent laxity of the muscles, intra-abdominal fat, residual
subcutaneous fat and separation of the muscle repair.
Depending on the cause of the
post-surgical abdominal bulge, revisional abdominoplasty
may be indicated. Under these
circumstances the muscles can be tightened and excess skin removed. In some cases weight loss may be more
appropriate, while in other cases ancillary procedures such as liposuction may
It’s virtually impossible to know
what option is best for you without performing a physical examination.
Your pictures suggest tight
abdominal skin in the presence of a significant abdominal bulge. This might be secondary to an
abnormality of the abdominal wall or increased intra-abdominal contents. This can be evaluated by CT scan.
It’s important to get an opinion
from a board certified plastic surgeon before proceeding with
intervention. Revisional surgery
shouldn’t be undertaken for at least six months following the original