Need for a Second Tummy Tuck?

You may still have residual swelling. I perform many revision tummy tucks and observation is often warranted. I would also suggest an abdominal liposuction procedure to enhance your torso. Raffy Karamanoukian, Los Angeles

                  Revisional
abdominoplasty can be very difficult for a multitude of reasons.  Corrective surgery should always be
accompanied by a careful analysis of the problem so that therapeutic measures
can be optimized.  Obtaining a
beautiful result from revisional abdominoplasty requires the correct assessment
of the problem and appropriate surgical intervention.

                  Although
it’s impossible to adequately assess your abdomen without a physical
examination, your picture strongly suggest the presence of large amounts of
excess abdominal skin above the level of your umbilicus.

                  Under
these circumstances, resection of lower abdominal skin and liposuction of the
upper abdomen wouldn’t solve your problem.  In reality, it might even make to the problem more noticeable.  In this situation, a complete
abdominoplasty is probably necessary to correct your problem. 

                  It’s
important that you discuss this issue with your plastic surgeon.  If you’re uncomfortable with your
surgeon’s response, a second opinion might be necessary.

If the picture is your post op result, then you need a major revision as you have excess skin remaining. It looks like more could have been taken off with the first surgery.

Good afternoon!

from your photos is does appear that you have a significant amount of excess skin above your belly button.  A full abdominoplasty  would be the best way to eliminate that extra tissue.

I hope this helps

Hello.  Six weeks after surgery the tissues are swollen and the final postoperative result isn't visible.  You need to wait before considering additional procedures.  Usually at least 3 months is necessary for the swelling to nearly fully resolve but it can often take 6 months or more.  The safest thing to do is to wait for your tissues to heal before considering any additional procedures.  If there is significant loose skin above the belly button then liposuction may not be the best option but it could give an improvement.

Hello. It is difficult to see what exactly can be done to fix your abdomen without and examination. I would recommend you wait a few months post op and then make a decision if your results are not how you desired them to be. Best of luck to you!!

It's difficult to tell exactly what your surgeon did. I don't see a scar around your umbilicus so I can't really tell. It would be better to see your photo with you standing upright. I always wait 6 months between surgeries.

It will always be possible to crate extra skin when you bend over; I can do that over the back of my wrist when I flex it. You can see that all of us are a little confused because it looks as if your belly button was not moved. However, since you state that it was, it could be that your condition is caused by a thick fatty layer. If that is the case, it was wise that your surgeon did not perform liposuction at the same time as the Tummy Tuck. In this case you could improve your results through liposuction. A full Tummy Tuck would only be advised if you could pinch the same roll when standing up. To ease your mind and if you have any questions, I would get a second opinion.

Thank you for your question. It is really hard to tell how adequate the results of your surgery are since you do not provide preoperative photos to which to compare. The fatty tissue above the belly button is almost always a troublesome issue, since it is often prohibitive in obtaining optimal results. Since the area below the belly button, or pannus, is removed, the persistent fatty tissue above the belly button will either remain, or must be addressed via concomitant liposuction. This places this flap of tissue in considerable risk, as the chance of devascularization, or compromise in blood flow, is substantial. That is why doing liposuction on the upper abdominal flap together with a tummy tuck or abdominoplasty is an advanced move, and should only be done by experienced surgeons. The issue of what to do in your case is one that should be considered seriously and carefully. Make sure that you get a formal opinion from a Board-certified plastic surgeon, so that you can review all of the relevant options. Depending on what was done in the original operation, the options will be clarified, and the best solution to the problem can be reached. Hope this helps. Good luck and fare well.

Although it is difficult to answer this question without a formal examination, you may in fact benefit from another procedure.  Liposuction can be beneficial in contouring, and a second tummy tuck could remove more skin.  On the other hand, you are only 6 weeks out, so it is far too soon to judge.  Finish you care with your current surgeon and should you seek another opinion I always recommend that you see a Board Certified Plastic Surgeon.  In your case, should you be leaning toward a second tummy tuck, make sure he/she has done many revision procedures as there are different risks involved.Best of luck.Garrett A. Wirth, MD