Abdomen looks just as large after TT. What are my options?

I understand your frustration with the changes you've noticed in your abdomen following your abdominoplasty with muscle repair surgery. It's important to consider a few factors that could contribute to your current situation.

Firstly, it's worth mentioning that some swelling and fluid retention are common after abdominal surgery, including abdominoplasty. This can temporarily affect the appearance of your abdomen, making it seem larger than expected. Swelling typically subsides over time, but it can take several months for the final results to become apparent.

Another consideration is the presence of diastasis recti, which is a separation of the abdominal muscles. Although you mentioned that it appears to be closed when you're sitting up, it's possible that the repair hasn't fully addressed the underlying muscle laxity. This can contribute to a rounded appearance in the abdomen, even without the presence of excess weight.

Additionally, the presence of a hernia and its repair during your surgery could also impact the overall appearance of your abdomen. Depending on the size and location of the hernia, as well as the technique used for repair, it may influence the final outcome and contribute to the appearance of abdominal fullness.

It's important to discuss your concerns with the surgeon who performed your abdominoplasty. They are in the best position to evaluate your specific case, examine your abdomen, and provide further guidance. They can assess if there are any complications or issues that need to be addressed and determine the most appropriate course of action to achieve the desired results.

If you remain dissatisfied after discussing your concerns with your initial surgeon, it might be beneficial to seek a second opinion from another qualified and experienced plastic surgeon. They can provide an independent evaluation of your situation and offer alternative treatment options or recommendations.

I hope this helps,
best of luck !

You did not post before and after photos, so I recommend that you go back to your surgeon and discuss your concerns and options. If you have internal swelling, like your colon, this is related to your diet and not to surgery.