Extremely bloated picture is my current situation, how do I proceed? (Photos)

Is it possible the plication sutures failed and you have recurrent diastasis? You may be a candidate to revise the plication for a flatter profile.

Dear Sincere219028,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

An in person evaluation is needed to determine if the contour that concerns you is primarily due to visceral/internal fat. This is fat that is behind the muscle wall and is not addressed through a tummy tuck or liposuction. Weight loss is what will reduce this. If the contour is not from visceral fat but is from weak fascia then you would be evaluated to determine if you are a candidate for options such as mesh support.

It would be good if you would include your surgical history including time frames with your post. The number one reason patients have a bulging abdomen after a full tummy tuck is the presence of excess visceral fat. This should be able to be determined during and in person, consultations, and a daily patient should be told that without success for further weight loss, the visceral fat will have significant limitations on the ability to deliver and want Abdurhman. This is not related to fascial strength, but rather increased intra-abdominal pressure due to excess visceral fat that has no place to go and we’ll push against your diaphragm and abdominal wall creating increased intra-abdominal pressure. Your abdomen probably feels firm and it’s probably labor summer to take a deep breath. If you lay on your back, your abdomen, probably still bulges, which is a clear indication that the problem is visceral fat, and not due to fascial Laxcity.
The only exception would be if you had a skin on the tummy tuck without muscle tightening, but even so I believe the main problem is visceral fat and further weight loss is required to get a flat abdomen regardless.
Best,
Mats Hagstrom, MD