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Need for a Second Tummy Tuck?

asked 3 years ago by paisley77 in CA
Latest answer by Brooke R. Seckel, MD
Question viewed 4,258 times
Tags: excess skin, loose skin

I had a full Tummy Tuck with Liposuction and hernia repair 6 weeks ago. I have left over fat and loose skin above my belly button. My plastic surgeon offered to do some lipo and lower my scar, which will pull me a little tighter. I'm afraid this will not work because most of the lax skin is above my bb. I feel like only a second tummy tuck will get me good results. What do you think?

13 answers to Need for a Second Tummy Tuck?

Second Tummy Tuck-wait 6 months

Thank you for your question. At 6 weeks you still have a lot of swelling. I agree that you have excess skin above the belly button and will likely need a Full Tummy Tuck to correct the loose skin above the umbilicus. However it is best to wait 6 months for swelling to go down to get the best result from a revision or second Tummy Tuck

Brooke R. Seckel, MD
Boston Plastic Surgeon

Need for a revision tummy tuck

Hello. Six weeks after surgery the tissues are swollen and the final postoperative result isn't visible. You need to wait before considering additional procedures. Usually at least 3 months is necessary for the swelling to nearly fully resolve but it can often take 6 months or more. The safest thing to do is to wait for your tissues to heal before considering any additional procedures. If there is significant loose skin above the belly button then... more

Jason E. Leedy, MD
Cleveland Plastic Surgeon

Need for a second tummy tuck...

Hello. It is difficult to see what exactly can be done to fix your abdomen without and examination. I would recommend you wait a few months post op and then make a decision if your results are not how you desired them to be. Best of luck to you!!

Jaime Perez MD
Tampa Plastic Surgeon

Revision Tummy Tuck Surgery

Thank you for your question and photo. It may be more helpful to see a photo of you standing straight up. I don't suggest revisionary surgery only 6 weeks post op tummy tuck surgery. You need to allow your body to completely heal prior to considering revision. I usually ask patients to wait 6-9 months to re-assess things and decide what is the best option to consider. Best Wishes! see video

Tom J. Pousti, MD
San Diego Plastic Surgeon

Abdominoplasty Revision

I would recommend waiting 6-9 months prior to any type of surgical abdominoplasty revision. Best wishes!

Christine Sullivan, MD
Columbus Plastic Surgeon

Revison tummy tuck

Without an exam I cold not possible tell you what to have done. Did you have a full tummy tuck before or just a mini? Either way, I would wait at least 6 months to a year before considering a revision.

Steven Wallach, MD
Manhattan Plastic Surgeon

When to have a revision of tummy tuck

Tummy tuck surgery is a very popular and effective way to contour the abdomen. Patients having this surgery should anticipate a significant recovery. In our practice, we typically inform patients that they may have swelling and bruises that may persist up to 6 to 8 months. You are in the very early stages of healing. At this time, he should continue to allow your body to heal and to wear a strong compression garment. In our practice, we give all tummy tuck patients two separate... more

B. Pat Pazmino, MD
Miami Plastic Surgeon

Wait 6 months between surgeries

It's difficult to tell exactly what your surgeon did. I don't see a scar around your umbilicus so I can't really tell. It would be better to see your photo with you standing upright. I always wait 6 months between surgeries.

Michael Weinberg, MD
Toronto Plastic Surgeon

Tighter is not always better

It will always be possible to crate extra skin when you bend over; I can do that over the back of my wrist when I flex it. You can see that all of us are a little confused because it looks as if your belly button was not moved. However, since you state that it was, it could be that your condition is caused by a thick fatty layer. If that is the case, it was wise that your surgeon did not perform liposuction at the same time as the Tummy Tuck. In this case you could improve your results... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Only a revision will tighten the skin

I see in your comment where you said you had a full tt. The length of the scar would also indicate a more significant tt. When you bend over you will always be able to grab some loose skin. If you are able to grab a roll of loose skin when you are standing up then you need to re-do the surgery. The skin above the belly button does look loose in your photo but the exam would need to be done with you standing up straight. Discuss this with your plastic surgeon and make sure he / she is... more

Marcus L. Peterson, MD
Saint George Plastic Surgeon

Tummy Tuck result should not look like that

Although we all have different terms for the various types of "tummy tuck" procedures, ultimately, what we should be doing is trying to match the final result to what the patient is trying to achieve and what they are willing to do to get to that point. Generally, a full abdominoplasty would have removed all that excess skin that you are pinching in your picture. What to do next depends on your surgeon and you. I guess a good question would be, was the doctor was a board-certified... more

John P. Stratis, MD
Harrisburg Plastic Surgeon

I believe you had a mini tummy tuck

With no scar around the belly button, you had a mini tummy tuck and that would expalin why you have so much redundant skin still. Liposuction won't help that. Are you sure your doctor was a Board Certified Plastic Surgeon? Unfortunately for the unsuspecting public, many non-plastic surgeons do mini tucks and call them full tucks, neither of which they are trained to perform.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Did you have a mini-tummy tuck?

It appears from your photo that there is no scar around your belly button. Did you perhaps have only a mini-tummy tuck which would not address the loose skin above your belly button. If you have enough loose skin remaining, then you may be a candidate for a full tummy tuck. Discuss this with your surgeon to see what your options are at this point. If you don't have enough loose skin, be mindful that the location of your scar could actually rise higher.