Why is my stomach not flat after a mini tummy tuck?

Excess fat after a mini TT often occurs when insufficient or no liposuction was performed during the procedure.  After 6 months of healing, a TT revision with lipo can be considered.  The key to an uneven scar is how the tension is managed at the end of the operation. 
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

 I am sorry to hear about your concerns after tummy tuck surgery. Unfortunately, most patients who have had pregnancies and/or significant weight gain/loss are not good candidates for mini tummy tuck surgery, if they wish to achieve a "flat" abdomen. Some general thoughts regarding many tummy tuck surgery: overall, in my opinion, the mini tummy tuck is an operation that produces very limited results and is very rarely indicated. It involves a shorter incision but does not address the majority of the abdominal wall issues present for most patients who present consultation. For example, the area of skin excised is quite small. The abdominal wall musculature is addressed below the umbilicus leaving the upper number wall potentially lax.   The appearance of the umbilicus is not necessarily addressed.
For the vast majority of patients who have had pregnancies and/or weight loss a full abdominoplasty is necessary to achieve the desired results. 
  Best wishes.