I still have excess skin and fat after my tummy tuck. Can more be done? (Photo)

Liposuction can help with the "roll" effect regarding the lower tummy skin. Your skin elasticity looks adequate; however, it may be that some more skin resection in the form of a mini tuck can help maximize your result; something to consider. Thank you.

Hello Tanay11,

Thank you for your question regarding excess skin and fat after a tummy tuck.

Thank you for your history and your pictures. By examining your pictures, your abdomen appears relatively flat in the standing position. When you are sitting, there is some laxity of the lower abdominal skin. There has to be some laxity of the skin to allow you to stand up straight. If all the lower abdominal skin were removed in the sitting position, you would never be able to stand up straight. Therefore, even with the most extreme and tightest tummy tuck, there is some residual abdominal skin when you sit down.

The only thing I see on your profile view is a slight distention of the abdominal wall below the belly button. Was your six-pack muscle sutured with permanent sutures from your xiphoid to the pubic region? If the muscle was not plicated, this would be the only correction I would suggest. You could also consider some liposuction over the superior iliac crests or the love handles, which would give you more of an hourglass shape. However, honestly, I don’t think you have much fat in that region.

Another alternative is to sculpt out your abdominal muscles with VASER liposuction. This would give you a different and more athletic look, although it may not necessarily be the look you are seeking. Overall, I think you have excellent results. Follow up with your plastic surgeon and discuss your concerns with her.

Good luck. I hope I’ve answered your question regarding potential revisions after a tummy tuck.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

Dear Tanay11,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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