Thank you for your question regarding the bulge you are experiencing a year after your abdominoplasty. While it is understandably frustrating to face concerns after surgery, I encourage you to address this issue directly with your plastic surgeon. A protruding bulge could have several causes, including muscle laxity, a residual hernia, incomplete muscle repair, or other factors such as scar tissue or fat redistribution. In many cases, there are solutions to address such concerns. Revision surgery, for example, could refine your results or correct any underlying issues contributing to the bulge. Consulting your surgeon allows them the opportunity to evaluate your condition and recommend appropriate next steps. It's also important to note that the presence of a complication or suboptimal result does not necessarily indicate malpractice. Malpractice typically involves negligence or a failure to meet the standard of care. However, your surgeon is the best person to provide insights and solutions for your current situation. If you're not satisfied with your surgeon's response, consider seeking a second opinion from another board-certified plastic surgeon to explore your options. You deserve to feel confident and happy with your results, and there are likely ways to address your concerns effectively. Sincerely, Dr. Katzen