Residual fullness in lower abdomen after full tummy tuck with muscle repair, do I need a revision? (Photo)

This may still improve.  It may also be fat in the skin that may benefit from liposuction in the future.

Due to changes in lymphatic drainage after abdominoplasty there may be persistent fullness between the umbilicus in the pubis for many months after abdominoplasty

Great pictures.  Thank you for your question.  It's early to discuss revision at this point, especially without seeing your before pics.  Your posture alone will tend to push your abdomen forward based on your spine.   The swelling above your incision will improve over time when your tissues have completly healed and are back to normal.  Please be patient and follow up with your plastic surgeon. 

It's currently too early to tell. Tummy tuck surgery involves lifting the skin from the abdomen. Raising the skin divides small lymphatic channels. In order to reduce the swelling these channels need to reform. It can take six months for the swelling to decrease, and the area right above the incision is one of the areas that stays swollen the longest.

Congratulations on having undergone the tummy tuck procedure. As you know, it is too early to evaluate the final outcome of the procedure performed. The fullness you are experiencing may be related to swelling, residual adipose tissue, muscle laxity… Best to evaluate the outcome the procedure proximally one year after it was performed; then, careful clinical evaluation will determine what, if anything, can be done to improve your situation. Of course, recovery time etc. will depend on exactly what procedure is necessary. For now, time and patience will likely be your “best friends”. Best wishes for an outcome that you will be pleased with long-term.

I would wait a full 6 months to evaluate any residual swelling and then discuss with your surgeon. Sometimes a minor revision is needed but it is too early to tell In the meantime, keep up your good diet and exercise plan. Best wishes,Below is a fully healed tummy tuck example.