Hello, and thank you for your questions regarding a "dog ear revision" to correct the result of your mommy makeover. Thank you for your history and your pictures. Regarding your pictures, it appears that you had an extended tummy tuck. During an extended tummy, an incision is made from hip to hip. Abdominal skin and fat are directly resected. The pubic region is lifted and raised, rectus abdominis muscles are plicated, and the belly button is repositioned. It appears all these were performed correctly. During the initial procedure, instead of an extended tummy tuck, you should've undergone a 270 or 360 circumferential lower body lift. This would've eliminated the excess skin and fat of the lateral hips. Therefore, most plastic surgeons would agree that your extended abdominoplasty was performed correctly. The "problem" is that you did not need just an extended tummy tuck. You needed a lower body. However, now you have excess skin and fat on your hips. The hips are not part of the tummy tuck. Therefore, the removal of excess skin and fat is a separate procedure. To correct for this, your tummy tuck incision would also have to be carried out more posteriorly, towards your buttocks. That means an incision would start at the front of your iliac crest or hip bone and then extend posteriorly, at least to the tattoo on your left side. Some plastic surgeons refer to this procedure as a 270. That means it goes 270° around your body. In some patients, the incision has carried to the top of the butt crack, resulting in a butt lift. When the incision connects at the top of the buttock, the procedure is called a 360 circumferential lower body lift.
