Tummy tuck shelf - is it best to just leave it alone like my surgeon suggested? (Photo)

Congratulations on your impressive weight loss! If the seroma capsule is still present you may find improvement in removing it. If your incision continues to be uncomfortable. you can also consider scar revision which may help.

An examination is needed to be certain, but if a mass is still present, it may be the capsule of the seroma and that could be removed to be flatter. You could get improvement with Renuvion and Morpheus to tighten and improve the stretch marks.

If you had a seroma and some fat necrosis (which is possible from the photos you showed), then the area will not only look like a shelf but will also feel firmer than the skin around it. The only way to remove it is to surgically cut out the abnormal scar tissue. This can solve the problem, but sometimes it can lead to another seroma and sometimes cause other contour abnormalities like unevenness. You have to weight the potential for benefit against the risks of it not improving or getting worse. I would seek the opinion of another surgeon or two in person since pictures can only show so much.