Hanging Skin 4 Months Post-Tummy Tuck

I think you prabably received the wrong operation - you clearly have global horizontal and vertical abdominal skin laxity- your TT only treated the laxity in the 'up-down' direction, and not the laxity in the 'side-to-side' direction. A Fleur de Lis abdominoplasty results in a horizontal scar (which you have) and a vertical scar (which you need). I would have recommended a Fleur de Lis patterned tummy tuck.

The most common reason is that there is inadequate removal of skin. You usually have to wait six to nine months to see the final result. At that time, one can easily excise more skin in the supra pubic area if needed. To prevent this from occurring, it is prudent at the initial operative procedure if performing a full tummy tuck to remove as much of the skin from the supra pubic area to the umbilicus so that it is somewhat tight upon closure with the patient flexed. The patient will be able to walk without being flexed in about 3 - 4 weeks.

Your surgery is likely the best that your plastic surgeon could do at the time.  He was likely looking out for what was best for you but it does appear that you'll be needing a more aggressive second procedure to re-tighten.  Stick with your board certified plastic surgeon (or switch to one) as he will know what the proper steps to correct things are and at a second stage your tissues will tolerate the procedure easier.  Good luck