Does this overhang need a revision? (Photo)

Hello, and thank you for your question regarding your Fleur De Lis Tummy Tuck results six months post-op. By examining your photos, it appears you have excess skin hanging over your right hip. There also appears to be asymmetry over the horizontal aspect of your tummy tuck. To fix this, I would recommend a revision tummy tuck. I would excise the previous scar, dissect up the abdomen to free out any uneven planes, then reapproximate and get an even resection out. The belly button could also be revised at this time. I do not think time will improve how the right side settles.

I hope this answers your question. I've performed hundreds, maybe thousands of revisions on tummy tucks, arm lifts, breast lifts, you name it. I am confident this can be fixed and you could be satisfied with your revision results. I wish you the best of luck.

If you have any more questions regarding a tummy tuck, lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 tummy tuck or circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, tummy tuck or lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

With large skin removal surgeries on patients whose skin integrity has been compromised by weight changes, sometimes you can have loosening of the skin from the stress of being stretched in surgery. At times, the skin on the sides of the abdomen is also loose from weight changes and can cause this bunching at the edge that you see, which can be addressed by elongating the scar towards the back of your body. I cannot say specifically what happened during your surgery; however typically this can be corrected by using the same scar or making the scar slightly longer, and cutting out this hanging skin. I would contact your surgeon to see what the revision policy is and whether they can address your concern.

Hello @Intuitive692887, thank you for your question and showing you pictures. It is important to take into account several aspects among which is the surgical technique applied, and wait at least 1 year to consider a revision . The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Dear Intuitive692887, thank you for sharing your question. After analyzing your case I can say you're a good candidate for Vaser Liposuction with Tummy tuck revision. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Dear Intuitive692887,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Based on your photos it appears you would benefit from a revision to address the excess tissue near your lower incision. Your surgeon may want to wait a few months depending how you've been progressing through your recovery.

Great posted photos. Yes round 2 surgery indicated to revise lateral excess skin and fat or extended TT. Best to seek virtual consult with... Fee $5,000+

Massive weight loss patients usually have skin redundancy and their entire torso in both horizontal and vertical directions. Individuals who have extensive skin laxity extended procedures can include a fleur-de-lis option or extending the incision onto the backside and what is sometimes called an extended tummy tuck, wraparound tummy tech a.k.a. body lift. In some individuals a wraparound tell me tuck with fleur-de-lis pattern may be an option as well. In your case you probably needed a more extended tummy tuck whether or not the fleur-de-lis pattern was indicated or not.
You’ll need a revision to take out the skin laxity over your hips and onto your backside.
These type of revisions are usually much easier to recover from than a full tummy tuck.
Often drains are not needed but they may be used depending on how the surgeon feels.
Some surgeons will do this type of division work in the office and someone will bring patients to a formal operating room.
You could definitely use a touchup to get a better result. i’m a big fan of doing extended tummy tucks when indicated. to do an extended tummy tuck requires moving the patient during surgery. There’s only so far the surgeon can reach with a patient laying on their back. repositioning patients during surgery is a fairly complex and time consuming maneuver.
Talk to your provider about doing a revision for you. It looks pretty clear that you would benefit from one.
Different plastic surgeons may have different willingness to offer revisions.
Typically plastic surgeons do not charge for revisions but may ask patients to pay for anesthesia and facility fees when needed.
It’s a good idea to talk about revision policy during consultations.
Follow up with your provider. If he or she is not cooperating then he will need to get second opinion consultations.
I would not be proud if that was my outcome and I would want to do a revision because I take pride in my work.
Best,
Mats Hagstrom MD

The photo looks like you have developed scar tissues binding the skin down to the abdominal wall. This will not "settle out" with more time. You should re-visit your surgeon for evaluation and probable revision.