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

If your abdomen appears just as large after a tummy tuck (TT), there are several potential reasons and corresponding options to address this issue:

Swelling and Fluid Retention: It's common to experience swelling after a tummy tuck, which can persist for several months. If swelling is the cause, continuing to wear compression garments, receiving lymphatic drainage massages, and following your surgeon's post-operative care instructions can help reduce it. Consult your surgeon to rule out complications like seromas.

Residual Fat Deposits: If there are areas of residual fat that weren't adequately addressed during the initial procedure, liposuction might be an option. Liposuction can target specific fat deposits and improve the overall contour of the abdomen.

Muscle Laxity: If the abdominal muscles weren't tightened sufficiently during the initial tummy tuck, or if they have separated again, a revision surgery might be necessary to re-tighten the muscles.

Excess Skin: Sometimes, not enough skin is removed during the initial surgery, leading to a less dramatic result. A revision tummy tuck can remove additional excess skin.

Weight Gain: Post-surgery weight gain can cause the abdomen to appear larger. Maintaining a stable weight through a balanced diet and regular exercise is crucial for optimal results.

Scar Tissue: Internal scar tissue can sometimes affect the appearance of the abdomen. Consulting with your surgeon can help determine if this is a factor and what can be done about it.

Steps to Take:
Follow-Up Consultation: Schedule a follow-up appointment with your surgeon to discuss your concerns. They can assess the situation and provide specific recommendations based on a physical examination and your surgical history.

Imaging Studies: In some cases, imaging studies like ultrasound or MRI can help identify issues such as fluid collections or muscle separation.

Consider a Second Opinion: If you're not satisfied with the responses from your original surgeon, seeking a second opinion from another board-certified plastic surgeon can provide additional insights and options.

Healthy Lifestyle: Continue to follow a healthy diet and exercise regimen to maintain your weight and overall health, which can positively influence your surgical results.

Revision Surgery Options:
Liposuction: To remove any remaining fat deposits and improve contour.
Revision Tummy Tuck: To address issues with muscle laxity or excess skin.
Non-Surgical Options: In some cases, non-surgical treatments like CoolSculpting or other body contouring procedures can help improve the appearance of your abdomen.
Consult with your plastic surgeon to develop a tailored plan that addresses your specific concerns and helps you achieve your desired results.

Dear ChristaneBean,
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 exam or photos is really needed in your situation. The contour could be related to swelling, a collection of fluid, internal fat, or muscle repair failure to name a few potentials. The correction will vary based on the underlying cause. I encourage you to visit with your surgeon for an evaluation of your concerns.