Thank you for your question regarding your concerns after your tummy tuck. Based on your description, it sounds like your initial procedure left you with uneven skin distribution, excessive tension in the lower pelvic area, and loose skin above your navel. These issues can often be addressed with a revision tummy tuck performed by a board-certified plastic surgeon who specializes in corrective procedures. During a revision, the surgeon can release the excessive tension in the lower pelvic area and redistribute the loose skin above the navel to achieve a more balanced appearance. This may involve revising your initial incision and extending it slightly to allow for better skin redraping. If the pubic area, or mons, was pulled too high during your first surgery, a procedure called monsplasty could be performed to reposition and reshape this area for a more natural contour. Additionally, if your abdominal muscles were not adequately repaired or if diastasis recti (muscle separation) was overlooked, the revision surgery may include muscle tightening to improve the overall contour of your midsection. While it is possible to make significant improvements with revision surgery, it is essential to set realistic expectations. The results will depend on the quality of your skin, the degree of correction needed, and the specifics of your previous procedure. I recommend consulting with a board-certified plastic surgeon who has extensive experience in tummy tuck revisions. Bring any documentation or photos from your first surgery to help the surgeon understand what was done initially and how best to correct the issues you are experiencing. This process will not only address the loose skin and high tension but will also aim to improve your comfort and overall satisfaction with the results. It is important to choose a surgeon who listens to your concerns and thoroughly explains the options available to achieve your goals. I wish you the best as you move forward in your journey. Sincerely, Dr. Katzen