Do I need to revision? (Photo)

First, there is nothing particular off about your surgery and you are on par for what would be considered a nice result. You still have a lot of swelling and April is possibly too early to do any revision surgery. It is clear from both pre and post op photos that you were very heavy and your skin is very poorly elastic, which makes tightening it difficult and also more prone to relaxation during the healing process; I tell all my weight loss patients that they may need a smaller procedure (still under general anesthesia) to retighten some areas. Having said all that, I think had I operated on you I would have included a vertical incision in the abdomen ('fleur de lys'), and possibly an entire 360 excision of skin; this would have really streamlined the hip/waist contour and lifted your buttocks. I also would have removed much more pubic tissue, creating a flatter pubis and a lower scar.

You are certainly very early postop and can expect swelling for 6 months or so. Only about then can a good decision be made about the possibility of a revision to improve anyone of a certain amount of concerns. It is best to review your expectations and possible revision with your plastic surgeon. Returning for liposuction surgery sometimes gives a surgeon a good opportunity to improve some areas of concern from the tummy tuck.

Hello and thank you for your question.
It is absolutely normal to have continued swelling two months after your procedure. I tell my patients that they will not see their final results for at least 3 to 6 months following the surgery. If you continue to have access skin at the time of your 360 Lipo, perhaps you can ask your surgeon to remove it at that at that time. Good luck,