6 Months After Abdominoplasty NO Lipo Should I Look Like This? (photo)

Based on your photo, you look like you have some swelling above the level of the incision. I have seen swelling in the lower abdominal area that persists for up to 1 year after abdominoplasty. Alternatively, if your upper abdominal skin and fatty layer thickness was preoperatively thicker than your pubic/groin area thickness, it is not unusual to see a discrepancy, or step-off, when a surgeon sutures a thicker skin/fat layer to a thinner skin/fat layer. On a similar note, any stretch marks that were present above your umbilicus do remain but are now in a lower location on the abdominal wall.  Skin loss can be a risk with central abdominal liposuction at the same time as tummy tuck,  so I typically do not thin the central abdominal area during any abdominoplasty. I am sure your plastic surgeon will be able to advise you about whether it is swelling or fat. If it is fat, a second stage central abdominal liposuction procedure will improve the contours, however, expect financial obligation for additional procedures. I hope I addressed your concerns.

It all depends on whether the swelling is related to excess fat or swelling.  Both are normal, but excess fat can be removed with liposuction at this stage if it is indeed fat. Raffy Karamanoukian, Los Angeles

Thank you for your photo.  It is difficult to say if your result could be better because there was no before photo provided.  

Dr. ES