I underwent a tummy tuck 7.5 months ago, my results are underwhelming. Do I need a revision, just more lipo, or what? (Photos)

Based on your photos your abdomen still looks protruding, you have dog ears and in my opinion your buttocks are saggy showing wrinkles in the bottom of the butt.
I would re-do completely the TT and convert it into a circumferential Tummy tuck in order to do a nice tight Muscle repair to achieve a flat abdomen and tapered waist, dog ear resection and real buttocks lift. I would complete the beautiful transformation doing liposuction to your waist and lower back and transfer a mild volume to your buttocks and preserve the athletic look.
Be encouraged! You will look fantastic!
Dr. Cárdenas

Dear emallov,
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

Hello @emallov thank you for your question and showing you pictures. I understand your concern. It is important to take into account several aspects among which is the surgical technique applied, and to evaluate if there is something else at a systemic level to make you still swollen. 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 FACS.

You need an examination to be sure, but based on your photos, you appear to have visceral fat which cannot be addressed except with weight loss. Please discuss this with your surgeon.

I'm sorry you are unhappy with your tummy tuck results. You may want to consider liposuction for further contouring. The belly button scar is a bit hypertrophic. You may benefit from steroid injections or scar revision. I encourage you to discuss your concerns with your surgeon. If not satisfied after that conversation, seek a second opinion from another board certified plastic surgeon near you.

Your umbilicus should have a steroid injected to lessen the scarring. You may benefit from liposuction of your sides and lower back.

Based on the posted before vs after photos I see a mild improvement. I recommend lipo 360 to help shape the hour glass abdomen. As for bb scar - not much to help. might recommend a decorative tattoo. Lipo 360 fees from $5,000. Best to virtual consult with...

Based on your photos, you need to redo your TT if you want to get the best outcome. Because it looks like your muscle tightening has not been done properly or at all.You would likely benefit from a high definition tummy tuck using high definition VASER liposuction. The tummy tuck procedure would comprehensively remove excess skin and fat in the abdominal region. The abdominal muscle would also be 'tightened' to create the appearance of a flatter stomach. A Skype or FaceTime consultation with a tummy tuck specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS

I suppose it’s easy to pick apart other providers work and criticize what should’ve been done differently.
In the end your doctor is responsible for the outcome of the procedure and you are responsible for choosing that doctor.
While bored certification is important it is no guarantee nor is there any correlation with particular surgical skills.
Did the results bother you enough to redo the procedure?
It’s going to be difficult to improve on the belly button.
You may wanna try some dilute anti-inflammatory steroid injections and the scar tissue around the belly button to see if that shrinks up that scar a bit.
There not question comes down to it if muscle tightening was done sufficiently or not.
Any attempt at lowering the scar will create a new small vertical scar from the closure of the old belly button position.
I suggest getting some proper in person second opinion consultations.
Posting on real self is convenient but you’re not gonna get quality recommendations because to do that really requires an in person conversation including an examination.
A good plastic surgeon should be able to ascertain if there’s room for improvement with further muscle tightening and differentiate muscle while versus possible visceral fat etc.
Some general recommendations for finding ideal providers include always having in person consultations whenever possible.
During consultations ask each provider to show their entire collection of before and after pictures for the procedure you’re interested in.
Being shown a few sample pictures which must likely represent the best results of the providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider.
An experienced provider should have no difficulty showing you a minimum of 50 sets of before and after pictures for a common procedure like a full tummy tuck.
Ask the provider to show as many before and after pictures they can find of patients with similar body characteristics to your own.
Ask them to show you examples of excellent outcomes, average outcomes and less than outcomes.
Highly experienced providers will have hundreds if not thousands of before and after pictures to choose from.
I also recommend patients read all reviews on various physician review websites avoiding providers for the any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling than having an abundance of positive reviews.
I recommend patient continue having consultations until they feel quite certain they found the provider book clearly stands out in regards to delivering quality results, having a man’s experience, serves as a patient advocate, is running an ethical practice and seems like the doctor you want taking care of you.
Judge tummy tuck results based on who gets the most natural looking belly buttons with low set scars that follow an atomic contour naturally.Ask to see before and after pictures from all angles including from behind. A good plastic surgeon will think about adjacent areas and how the procedure will impact how the torso looks from different angles.
If someone is scheduling Liposuction then ask to see before and after pictures of that procedure as well.
Delivering consistent quality liposuction results is more difficult than most people believe in this includes plastic surgeons.
These procedures are permanent and more or less irreversible.
Importance I’m choosing the most talented and experience providers go so that saying.
In many ways revision work is more difficult than Primary work cell if you opt for having a revision and consider properly vetting providers first.
Best,
Mats Hagstrom MD

Hi and welcome to our forum!
From your photos, I note 2 preoperative views, demonstrating a full abdomen and full flanks, and a small hanging abdominal panniculus. The postoperative views demonstrate elimination of the panniculus and a flatter abdomen. There still appear to be relative fullness of the flanks. Unfortunately, there is a hypertrophic scar about the umbilicus.
Abdominoplasty does not address the flanks unless the procedure is extended laterally and posteriorly as an "extended abdominoplasty". In some individuals, this can be extended circumferentially around to the back, called a "beltectomy". While your abdomen is tighter, the flanks remain relatively full.
Liposuction of the abdomen is usually not recommended during abdominoplasty as there are often blood supply concerns to the abdominal flap,
A hypertrophic scar represents an abnormal response to tissue injury, resulting in deposition of excess collagen. Its prevalence is increased after infection or in wounds under mechanical stress. The scar doesn't grow beyond the boundaries of the original skin injury.
There are non-invasive and invasive methods to treat these entities. Hypertrophic scars often spontaneously regress with time, the final scar noted when the redness of inflammation has subsided (usually at 12-18 months).
The application of pressure and immobilization of a scar with silicone gel sheeting appears to hasten resolution of the process. Various creams are available, but their efficacy is questionable.
Laser treatments are available with varying degrees of success.
Injection of corticosteroids directly into the scar may flatten the scar and alleviate symptoms, but may also broaden the scar and cause pigmentary change in the skin locally. For this reason, we usually delay its use for as long as possible.
Surgical scar revision is an option to consider if regression is not noted at 12 months after the procedure.
Liposuction of the abdomen and flanks may be considered.
Best wishes...