Boxy tummy tuck 6 months after surgery. Are these the final results? (Photo)

Liposuction or Tummy tuck with muscle repair will never eliminate the visceral fat which is the cause of your protruding appearance.
Plus you must understand that removing fat and skin with tightening muscles will never modify your bone frame which is wide on your chest and upper body, so your upper body width won’t reduce with any type of surgery. It will wey helpful if you remain with a BMI below 30 and closer to 25.
Be encouraged !! You can do it.
Dr. Cárdenas

Dear Diligent903564,

Thank you for sharing your concerns about the boxy appearance of your tummy tuck six months post-surgery, and for providing your history and photos.

Based on the images and your BMI of 28.32, it's evident that your abdomen remains distended, likely due to visceral fat situated behind the rectus abdominis muscle. This fat and the volume of your peritoneal cavity seem to be exerting pressure on the rectus muscle, causing the distended appearance.

To best address this, I recommend prioritizing diet and exercise. Adopting a ketogenic diet with limited carbohydrate intake might help reduce the size of your peritoneal cavity. If you need further assistance in this domain, consulting with your PCP could be beneficial; they might even consider prescribing Ozempic, provided you meet the criteria.

However, if dietary and exercise interventions aren't feasible or don't yield the desired results, there are surgical options to explore. Considering your abdomen has already undergone horizontal tightening, a vertical approach might be beneficial. There are two potential incision locations for vertical tightening: one running from the sternum to the pubic region, and the other located laterally, aligning with the natural position of your arms at your side. The former results in a fleur-de-lis pattern, while the latter is known as a vertical torsoplasty or hourglassing procedure. The vertical torsoplasty might enhance your waistline, and complementing this with fat transfer to your hips can emphasize an hourglass silhouette.

I hope this provides clarity regarding the appearance of your tummy tuck six months post-surgery and potential paths forward.

Wishing you all the best in your journey to achieving the desired outcome.

Sincerely,
Dr. Katzen

You will have some swelling present from your liposuction procedure. Most of that will be resolved by 6 weeks post op. It appears from your photos that the main issue may be visceral fat. This is the fat that surrounds your organs and is behind your muscle wall. This is improved with weight loss only as a tummy tuck or liposuction can't address it.