3 years post op and unhappy with my tummy tuck results, would another procedure help me achieve a more sculpted look? (photos)

An unfortunate and all too common phenomenon. You have a potential few options, based on the physical examination. In general, you'll need more liposuction, but mostly you need scar repositioning, something different than simple scar revision.

Hi Brave927287. Thank you for your request regarding how to achieve a more sculpted look after your tummy tuck.

In reviewing your pictures, it appears that additional sculpting could enhance your results. This can be achieved with VASER liposuction, which would allow for more precise contouring of your upper, middle, and lower abdomen. I would also recommend liposuction of your love handles and inner thighs to further refine your shape. If you desire, the fat removed during liposuction can be transferred to your buttocks and/or hips to achieve a fuller, more balanced silhouette.

I hope this helps answer your question regarding improving your tummy tuck results.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

You have 2 issues
#1 not enough liposuction was done. Recommend liposuction 360.
#2 your scar is high, You need a revision- in order to bring the scar down so that you look longer and leaner.
You do have a nice shape however liposuction and bringing your scar down will improve your appearance.

With all cosmetic surgery, improvement occurs without perfection. Realistic expectations are critical to achieving satisfaction with this surgery. Looking at your pictures, (and I don't have the prep"s) there could be some revisional surgery done to improve your results. A revision of the lower abdomen with scar revision and contouring of the flanks with liposuction could be done. I would talk to your surgeon about this.

Dear Brave927287,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thanks for your question! I do think the scar is higher than what is ideal. However, you weren't "botched". I think circumferential liposuction would do wonders for you. I would suggest finding a surgeon in your area that specializes in lipo. Good luck!

You have excess of skin and fat on the flanks. This is not quite a dog ear, but close. You need additional liposuction, and removal of flank roll skin. If your surgeon is unwilling to recognize and treat your issue, seek another board certified plastic surgeon with whom you can establish a rapport and treatment plan. Best wishes on getting a great result.

I would suggest adding liposuction to your flank areas to remove some excess fat. During a tuck, liposuction must be limited and some areas not even treated for safety to the skin. Now it is safe to have liposuction.

From the submitted photos it appears you would have improvement with additional liposuction for contouring. The scar position is less than ideal but it is more involved to address than suctioning the waist and flanks. See a board certified plastic surgeon near you to discuss your concerns and learn more about your options.

Based on your nicely posted photos, you have mild to severe dog year to form of the lateral portion of the tummy tuck. Skor and the tummy tech score could be revised to look better. The recommendations would be complete revision of tummy with excision of dog formula is in liposuction of waste and flanks. $10,000-$20,000. Best of virtual consult with.