Can an extended tummy tuck with lipo to the flanks and bra rolls give me a snatched small waistline? (Photos)

No standard approach exists among PSs.  Recommend that you consult with the PS who performed your TT to determine his/her policy regarding dog ear revision.  This policy varies with the PS and whether the original surgery was performed by him/her.   Some surgeons' revision policy waives their surgeon’s fee for complications or revisions as long as the revision procedure is performed within six months of the original surgery date. The patient will still be expected to pay for facility fees and anesthesia fees, etc.If the waist was smaller at one time, the waist can likely be reduced through liposuction of the abdomen, flanks, back, and love handles to those same measurements or smaller provided the muscular and fascial integrity has remained the same.  The harvested fat can be transferred to the buttock and hips to make your waist look even smaller.  

From the photographs provided it looks as though a good result would be achieved by aggressive liposuction of the waist area and possibly the brawl role. A formal abdominoplasty without an extension should give a good result. Secondary liposuction of the anterior abdominal wall might enhance this operation several months hence.

Dear China,  Thanks for posting your pictures and sorry for your disappointing result. From observing your pictures you appear to have abdominal bulge , the scar is too high and the pubic area is protruding excessively.    These imperfections can be corrected , however you have to be willing to accept a small scar in the middle or lower part of the lower abdomen, which is the location of the old belly button.   In regard to the  liposuction of the hips, waist and lower flanks, I would recommend that you do it 6-8 weeks after the tummy tuck, in order to allow your weight loss from the tightening of the abdominal  muscles ( reduces the amount of food that you can eat and your sense of hunger) to stabilize and avoid severe complication from combining tummy tuck and liposuction.   Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of redo tummy tuck in the photo gallery, to make sure that they are numerous, consistent and attractive with flat stomach, nice belly button, narrower waists, improved body posture and low scar.                       Best of luck,                                       Dr Widder

Dear China7423,
it is hard to tell for sure without an examination, but based on your photos, it looks like you would benefit from scar revision and liposuction. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Hi and welcome to our forum!
From your photos, I note a healed abdominoplasty, moderate fatty tissue of the abdomen, significant fatty of flanks and hips. The fullness at the terminations of the abdominoplasty incisions may represent excess fat or excess fat / excess skin. 
Your candidacy for cosmetic surgery requires consideration of many
factors. One is measurement of your BMI (body mass index equals weight in kg /
square of height in meters). You can find BMI calculators on the internet. If
your BMI is > 30, the cosmetic result will not be optimal. If your BMI is
> 35, your operative risk will rise. Weight loss through diet and exercise
is recommended under these circumstances prior to surgery.
If your weight falls within satisfactory parameters, I would recommend liposuction of the abdomen, flanks and hips. This should flatten the abdomen and narrow the waist, accentuating the hourglass configuration.  If this does not satisfactorily eliminate the dog ears, I would recommend skin excision further posteriorly. After abdominal liposuction, one may be able to advance the abdominoplasty scar further downward closer to the pubic area
Visit a board certified plastic surgeon for in-person evaluation and discussion.
Best wishes...