4 months post op and swelling from hell. Do I need a revision or just lipo? (Photo)

Thank you for your question and for sharing your photographs.  Depending on your desired results or improvement there are a few options.  Fat that is below your skin and above the level of your stomach muscles can be improved with the use of liposuction.  Fat that is found deep to your abdominal muscles responds only to diet and exercise.  See your surgeon for an in-person examination, they will be able to tell you the best treatment option.  

Hello and thanks for your post. The before and afters show a nice improvement and I believe the "look" you have is either due to swelling or a reflection of your current weight. Either way, avoiding revision surgery for 1 year is going to be important to let all the swelling go away. I would suspect that weight loss and exercise might also improve your overall results. Best, Dr. ALDO.

Go back to your surgeon and be examined to see if you have residual fluid or internal fullness. The internal fullness is addressed with diet and could be related to food allergies.