What can I do about lower abdominal pooch 1 year after tummy tuck? (Photos)

Question

Sutures are tight. When I’m relaxed my muscles look like they are very far out. When I suck in and tighten my abdomen is flat with not much skin available to pinch in lower abdomen. Saw plastic surgeon she is not concerned and does not see a problem. I am planning on doing upper abdominal liposuction but I do not want my lower abdominal to look worse because of this pooch. What can I do?

Zoran Potparic, MD · Answer

It is very difficult to give you any meaningful answer based on these photos. This issue may be best addressed with in person, second opinion consultation with an experienced board certified plastic surgeon in your area. Good luck.

Arian Mowlavi, MD, FACS (license on probation) · Answer

It is hard to answer your question without better photos or an in person consultation. That being said, if you are concerned with a lower abdominal 'pooch' the best option is likely a mini tummy tuck or ultra high definition tummy tuck. If your abdominal muscle is protruding then the ultra high definition tummy tuck is your best option. A Skype or FaceTime consultation with a tummy tuck specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

Well done tummy tuck should create a straight B line between your sternum and pubic bone. For those who have excessive amounts of intra-abdominal or a visceral fat the abdomen will bulge even against aggressive muscle tightening. In patients who are more barrel chested or whose sternum sits in front of their pubic bone the upper abdomen will often bulge in comparison to the lower abdomen from aggressive muscle tightening.The fat layer is pulled thin when the skin is pulled tight during a tummy tuck. Just like a rubber band becomes then when pulled tight.Liposuction is generally not going to contribute all that much to the front of the abdomen because this area was successfully treated by pulling the skin tight. Usually Liposuction is far more effective and needed in the areas that were treated by the time we talk. These are generally the sides and the back. there’s no way to redo the muscle tightening or skin tightening part of a tummy tuck without redoing the entire procedure.Unfortunately your pictures aren’t really sufficient to make a solid assessment. It would help if you should proper before and after pictures taken by your surgeon. If you don’t have those I suggest asking your surgeon to forward them to you.if you want a more accurate assessment I suggest having a few in person consultations.We really can’t judge results from surgery without seeing before pictures.Best, Mats Hagstrom MD

What can I do about lower abdominal pooch 1 year after tummy tuck? (Photos)

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What can I do about lower abdominal pooch 1 year after tummy tuck? (Photos)

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Everything you need to know about Tummy Tuck Revision

Our mission is to create a world where every investment in modern beauty is Worth It.