2 years post-op - What happened to my tummy tuck? Should I have a revision? (Photos)

A few different issues may be contributing to your current presentation. An ultrasound is a reasonable place to start, not only to evaluate for a seroma (fluid collection) but to also evaluate the abdominal wall muscles. Laxity in the abdominal wall occurs due to weight fluctuations, pregnancy and as we age. Assuming the muscles/abdominal wall laxity was corrected 2 years ago, this may have stretched or become loose around the previous sutures. Retightening the abdominal wall with mesh reinforcement would be one option if this was found on imaging or physical examination. I would follow up with your plastic surgeon for a repeat examination to discuss your concerns. Best of luck.

Dr. Eric J. Wright

You either have had weight gain, or you may have some food allergies causing your colon to expand. Either way, please discuss this with your medical doctor.

Hi and welcome to our forum!
From your photos, there appears to be an early postoperative frontal view, demonstrating a flat abdomen, narrow hips and waist. The 3 later postoperative oblique views appear to demonstrate a full abdomen, full hips, and full flanks, suggesting significant weight gain.
Age is a number. Physical health is extremely important. I would first attempt a strict dietary regimen and supervised exercise under the control of your primary care physician to lose the weight you apparently have gained over the past 2 years. You mentioned "spinal issues"...Has your level of activity decreased over the past few years?
BMI, or body mass index (weight in kg / square of height in meters) is one criterion to determine the results of a cosmetic surgery. You can find BMI calculators on the internet. If your BMI is greater than 30, the cosmetic result will not be optimal. If your BMI is greater than 35, your operative risk will rise.
If your BMI is under 30, you may wish to consider liposuction if all non-surgical options fail. However, the state of your physical health is paramount. Preoperative medical clearance is definitely required.
Best wishes...