Why didn't smart lipo work? (Photo)

You are a poster child for tummy tuck. Every tummy tuck "before" photo you've ever seen looks alot like you for good reason. Your belly is completely stretched out from loosening of your abdominal muscles (called a diastasis). The fat that was smart lipo'd out was simply sitting on top of this pot belly and was not the cause of it. Your surgeon should have told you this beforehand. You also have some fat inside of your belly around your internal organs called visceral fat. The best advice for you is to lose 20 lbs to reduce the visceral fat, then a tummy tuck.

Unfortunately you were not a candidate for smartlipo alone, you are a candidate for liposuction with a tummy tuck but if you lost 20-30 pounds first you would would obtain the best outcome.  Please see an expert.  Dr. Emer.

The abdomen is the area of the body with most factors determining a satisfactory result. There is subcutaneous fat between the skin and muscle that Smart Lipo targets and removes. But there is also visceral fat which lies beneath the muscle, mixed with your organs. This can only hope to improve with a low-carb diet (with usual weight loss). There is also the issue of abdominal muscle laxity from obesity or pregnancy and of course, skin issues. If the Smart Lipo procedure was done thoroughly, you may be dealing with a combination of visceral fat and muscle laxity. Diet/weight loss and an abdominoplasty may be needed for your desired result.