Tummy Tuck Revision Q&A
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Revision After Vertical Tummy Tuck?

asked 10 months ago by kstack in Northern Michigan
Latest answer by John P. Di Saia, MD
Question viewed 348 times
Tags: excess skin, 3 weeks post-op, unhappy

5'4" and 165 lbs. 3 weeks ago I had a full tummy tuck with the additional vertical incision. I don't think my doctor removed enough excess skin vertically because their is still quite a bit. My rolls go vertically now instead of horizontally. The skin above my new belly button is still pizza doughish. Ugghhh! Is this due to swelling? If not, how do I go about telling my plastic surgeon that I am not happy? Is it typical to have to pay for a revision? I am already into for 25,000? (w/lift & aug.)

9 answers to Revision After Vertical Tummy Tuck?

+4

Revision Abdominoplasty

Certainly the goal with any cosmetic surgery is a happy patient. It is impossible to assess the overall result at 3 weeks out from any cosmetic procedure. You will need to give the recovery some time for swelling and immediate surgical changes to mature. I would follow the directions of your surgeon regarding post-op care etc and once you are 6 months out or more - you can critically review the result and if still concerned discuss your concerns. With respect to... more
+3

Tummy Tuck Revision

This is a difficult question to answer without more pre and post op photo views from other angles. Also, knowing the pre-operative discussion with your plastic surgeon would be very important here as well. For example, did you talk about reasonable expectations, safety, length of procedure, or any susequent procedures that may need to be done afterwards (sometimes 6-9 months after the original procedure). In short, your results are less than optimal... more
+2

Suboptimal Fleur-de-lis Tummy Tuck Result

What you had is a combined horizontal and vertical tummy tuck pattern, known as the fleur-de-lis tummy tuck. Based on your before and early after photos, I can well understand your concern. As the swelling further subsides and relaxes, you will probably develop a little more loose skin. It is clear that the amount of abdominal skin resection was very conservative. While there is nothing wrong with being conservative, any patients that I have ever treated would be disappointed with this... more
+2

Revision after your Tummy Tuck

What you had is a "fleur de lis" abdominoplasty. While you are very early after your surgey, I am fairly certain that your loose skin will only get worse. As the swelling goes down, the skin will get looser, so if you are unhappy now, you will probably be more unhappy in a few months. You should wait at least 6 months to 1 year before undergoing a revision but I would at least have a discussion with your doctor now about it to find out what his or her policy is... more
+2

Revision After Vertical Tummy Tuck?

This is an issue concerning the pre operative discussions and informed consent. Best to have hard an idea of the "what if" factor. What if the result is not to my liking? Yes I agree you need a revision but if neither you or the surgeon of record had this discussion than there is a problem. Sorry.
+2

Revision after Fleur-de-lis tummy tuck.

Your first photo shows a healing vertical scar and a barely-visible horizontal scar peeking out from your underwear. I presume the other photo is your pre-op appearance--congratulations on your weight loss! Since you have already had breast lift and augmentation surgery by this same surgeon, I also presume you had a satisfactory result from that procedure, or you would have gone elsewhere for this second operation. All that being said, you appear to be healing without complication... more
+1

A Tummy Tuck in not always enough

Hello, I always feel a bit ill at ease in bringing up less-than-cheery issues with people I have not met, but.... Seeing the degree of laxity and fatty excess you had pre-operatively, you would have been better served with a staged approach from the beginning. That means from the beginning you plan multiple operations. This is of course a matter of opinion and how you can handle it now that you are in a surgeon's care will vary. It is time for a sit down with your doctor at... more
+1

Revision Tummy Tuck Surgery

You are only 3 weeks post op surgery so you have to allow yourself time to heal before having a revision. I understand your concerns regarding the excess skin and most likely you will need a revision but it is really important to wait until your body has recovered from this first surgery. In regards to finances, each office is different in how they handle revisionary surgery - talk to your surgeon....they should be able to assist you.
+1

Abdominal tightness

3 weeks after a tummy tuck you are still swollen. You need to wait 3 months to see final results however what you are describing sounds like something that will not resolve completely even after 3 months. Post surgical pictures would be helpful.

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