Need for a Second Tummy Tuck?

You may still have residual swelling. I perform many revision tummy tucks and observation is often warranted. I would also suggest an abdominal liposuction procedure to enhance your torso. Raffy Karamanoukian, Los Angeles

                  Revisional
abdominoplasty can be very difficult for a multitude of reasons.  Corrective surgery should always be
accompanied by a careful analysis of the problem so that therapeutic measures
can be optimized.  Obtaining a
beautiful result from revisional abdominoplasty requires the correct assessment
of the problem and appropriate surgical intervention.

                  Although
it’s impossible to adequately assess your abdomen without a physical
examination, your picture strongly suggest the presence of large amounts of
excess abdominal skin above the level of your umbilicus.

                  Under
these circumstances, resection of lower abdominal skin and liposuction of the
upper abdomen wouldn’t solve your problem.  In reality, it might even make to the problem more noticeable.  In this situation, a complete
abdominoplasty is probably necessary to correct your problem. 

                  It’s
important that you discuss this issue with your plastic surgeon.  If you’re uncomfortable with your
surgeon’s response, a second opinion might be necessary.

If the picture is your post op result, then you need a major revision as you have excess skin remaining. It looks like more could have been taken off with the first surgery.