Richard A. de Ramon, MD

Based on your photos, it appears you have some skin laxity and skin tone issues. My question is, why are you afraid of a tummy tuck? Did you get adequate counseling on both procedures? Without a physical exam, it is impossible to know if you have a separation in your abdominal wall muscles which can only be repaired with a tummy tuck. Liposuction is a great option, but it may leave you with more skin laxity. In some cases, I have removed excess skin with a simple excision along the bikini line after liposuction. I recommend returning to the surgeon with whom you felt most comfortable and ask more questions about what the risks and results would be with each procedure. Then only proceed if you feel completely comfortable with the surgeon and the price.

It is very difficult to see your pre-op photos because of the surgical markings. Therefore, determining if you had asymmetry before surgery is difficult. There is not significant asymmetry in the photos. However, if you are unhappy with your results, please seek another opinion from a board certified plastic surgeon.

Your complication can happen after a tummy tuck. Hopefully, you were aware of this and signed an informed consent and discussed risks. I would not spend money on endermologie. Please see your surgeon if you feel comfortable with him/her for a possible diagnostic test to determine the cause of the bulge. Otherwise, seek a board certified plastic surgeon to determine a treatment plan (if any is needed).

There are a couple of recommendations. First, follow-up often with your surgeon (hopefully board certified in plastic surgery) so he/she can manage your recovery. Second, be patient. Swelling can take 6 months to go away. If you have drainage from your incisions and belly button, you should contact your doctor for advice. You should also wear your post-op compression garment 24/7 for 4-6 weeks post-op. At this point, your contour is not ideal, but without more pre-op photos and not knowing the surgical approach, it is impossible to say you were "botched."

From your photo, it appears you would benefit from a neck lift and/or face lift. However, determining the need and possible results of a rhinoplasty is a complex question requiring evaluation by a board certified plastic surgeon. A tip rhinoplatsy may help if that is your concern. The question at hand shouldn't be if you have them done together but if you indeed need a rhinoplasty. If you have decided you want to go that route, and you are healthy, these procedures are often performed together.