Should I get a second tummy tuck? (Photo)

My first thought would be to exclude fluid collection (late seroma) between skin and abdominal muscle? If seroma is ruled out I would suggest lymphatic drainage, manual first and vacuum assisted to follow. Good luck.

I would be careful with your keloid scarring with regards to a second tummy tuck. Liposuction may be a good option for you. Best, Dr. KaramanoukianLos Angeles

There are many potential reasons but it does sound as if you have a visceral or intraabdominal component. Are you back to your regular diet? Probiotic supplements may help. Abdominal core compression exercise regimens may also help to flatten. Were your muscles repaired with permanent or absorbable sutures? Are you doing manual lymphatic drainage or dry brushing to help with skin drainage?

Episodes of swelling are common after tummy tucks. Continue to see your plastic surgeon and give it at least 6 months to see the final result. 

I am not sure how far out you are from surgery. I would talk to your surgeon about proper timing, but at this point in and your recovery your muscles may have become soft and lose. I would suggest you retone your muscles with appropriate abdominal exercises and see if that will improve your muscle tone and flatness. To get the maximum benefit of a tummy tuck muscles need to be toned. Your surgeon will instruct you on the correct time to begin exercise. Best wishes,Dr. Marcus Peterson