I had a full tummy tuck 1/2013. I still have a lot of loose skin. I am much larger above my bb, what would cause this? (Photo)
Doctor Answers 6
I had a full tummy tuck 1/2013. I still have a lot of loose skin. I am much larger above my bb, what would cause this?
Unhappy with your Postop appearance of a #tummytuck
Sub optimal tt
First, it looks like pre op you are standing and post op you are sitting and this makes a HUGE difference in appearance.
Taking that into account, it would appear that you may have had some sort of "mini-tt" or that perhaps the upper fascia (strengh) layer of the abdomen was not tightened or not tightened adequately. It also appears that not enough skin was removed resulting in not enough abdominal skin tightening. Judging from your body habitus, 694 gm is an unremarkable amount of tissue to remove.
TT revisions are a bit tricky. The tissue is scarred in so it doesn't tend to stretch that much. This means that the hole from the navel will likely be moved down but may not be completely removed and you may have a vertical scar at the level of the transverse scar. However, I believe that your fascia can be tightened significantly which would produce dramatic results in sculpting your torso, and the excess skin removal will be icing on the cake. You have a moderate fat pad, and that may need to be suctioned, but I recommend that about 9 months to a year after revision.
I would also recommend getting a second board plastic surgeon who is very experienced with tt, who is excellent with the procedure, and who has a passion for it.
To do a tt well is no easy matter, it takes vision, finesse, and sometimes a lot of luck. Occasionally bad things happen. The bad things happen much less frequently to ps who really have a passion for this operation.
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