10 months post-op - lipo/TT/BBL revision for lumpy stomach? (Photos)

Hello, and thank you for your question regarding a revision for a lumpy stomach 10 months after your tummy tuck, liposuction, and BBL. I appreciate you sharing your history and pictures. Based on your images, I believe you have achieved excellent results, and I do not see many visible lumps on your abdomen. However, if you are noticing unevenness or lumps, it is not uncommon for residual fat deposits or scar tissue to create contour irregularities after a tummy tuck.

If the lumps you are experiencing are due to excess fat, liposuction can often help smooth the area. However, if the lumps are the result of post-surgical scar tissue, VASER liposuction may be the best option. VASER liposuction uses ultrasound technology to break up scar tissue while precisely removing any remaining fat, leading to a smoother abdominal contour.

I recommend waiting at least 4 to 6 months before considering revision surgery to allow your tissues to fully heal and soften. At that point, if the lumps persist and continue to bother you, a revision with VASER liposuction could be an excellent solution. When consulting with plastic surgeons for a tummy tuck revision, be sure to choose a surgeon experienced in revision procedures and VASER liposuction to achieve the best possible outcome.

Best of luck, and I hope this helps answer your question!

Sincerely,
Dr. Katzen

Dear Diligent111294,
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

Hi Diligent111294,
Your photos show more waist curvature and an athletic look with some muscle definition-likely from the liposuction and possibly fat transfer into muscles to make them more defined. If the lumpiness is from the liposuction and not the muscles, it might be fixable with some blending of the edges with fat removal or if there is no excess fat in surrounding tissues, perhaps grafting some fat into any depressed areas. Both of these options can be done with local anesthesia and not a lot of downtime. Taking fat out of the muscle is harder and would require the use of an ultrasound to find where the fat is. Your original surgeon would be the best to address this with. Good luck!

I am guessing that the prominence below your belly button is what's bothering you. Otherwise, it looks like your doctor really did a nice job! Go back to him and discuss that issue and how it can be made better. Its it residual subcutaneous fat? Is it persistent muscle wall protuberance? Is it both? The answers to these questions will guide your doctor in planning a revision surgery.

Just based on the quality of your photos only, your abdomen looks good. Go back to your surgeon and discuss your concerns.

I encourage you to begin by visiting with your surgeon to discuss your concerns. If the issue is subcutaneous fat then liposuction could be done to improve the results. J Plasma could be considered as well. I've included a video I hope you find helpful.

Your post of photos though nicely done do not really demonstrate the issues you’re discussing. I would recommend virtual consultation and then detailed discussion for possible liposculpture with J plasma. Fee from $6000-$12,000. Best of virtual consult with again.