Muffin Top Post Op with No Lipo? (photo)

I am 7 days post op from a full tt and ba, I know its very early. I am unhappy with my tt rezults so far. It seems like evrything I aked the ps to do, he did the opposite. High scar, big boobs and a uffin top I asked him today abiut and he replies if im unhappy with it, then to get smart lipo? If I get lipo, wont that leave loose skin?

Doctor Answers 12

A dog ear after the abdominoplasty part of a mommy makeover will require another surgical procedure.

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Dogears do not disappear with resolution of swelling. The picture demonstrates what appears to be excess skin laterally although it's a bit early to make a pronouncement. It is due to swelling it will go away with time. If it is a dog ear. It will require a surgical revision.

Tummy Tuck Revision

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Thank you for your quesiton and photos. You are correct, your incision is too high and the contour is not acceptable.  It is too early to evaluate the results of your TT, but if they persist beyond 3 months, then a revision is in order. Your surgeon should want you to be happy and willing to improve upon his work.  Hope this helps. All the best.

Post op....

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It’s early in the post-operative course and you’re still extremely swollen.  Despite this swelling, it’s obvious from your pictures that you have several areas of concern that will probably require additional treatment.  These include a high incision, redundant tissue extending posteriorly into your flank region and residual fat including your lower abdominal skin flaps.

                It’s highly probable, that these issues will require revisional surgery at some point in time.  Although the resolution of swelling may help, it probably won’t be enough to avoid secondary surgery.  In this particular case, efforts to lower the incision would be appropriate.  This could be combined with extension of the incision to correct the flank roll.  In addition liposuction of the abdomen could thin the abdominal flap as well.  It’s important that revisional surgery not be undertaken for at least six months.  This allows adequate time for swelling to resolve and the situation to stabilize.

                It’s important to maintain close contact with your plastic surgeon.  Your surgeon should be able to formulate a treatment plan that addresses your concerns.  If you’re dissatisfied with your surgeon’s response, it may be appropriate to get a second opinion.


Wait to discuss your results

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It appears that your incision may be placed too high however, I suggest you allow about 3 months to pass before you return to your surgeon to discuss your results. At this time, you are still early on in your recovery as you mentioned and it's better to see how you progress. This is true for your breast results as well.

Too early to tell

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thanks for your ? and pic. I agree that your incision appears high and the contour is not yet ideal laterally. Without a preop view however it is hard to be too judgmental. Sometimes as the swelling subsides, this will improve. If the skin elasticity is poor it is oftentimes hard to get as smooth and tight a contour as we want. Most of the time we combine liposuction with the TT at the initial procedure. If there is a lot of skin excess and poor elasticity then we will resect skin posteriorly. Once you are closer to 6 months out it will be easier to tell where you stand. Best of luck!

Anxiety about early result after an abdominoplasty - high scar and muffin top

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Early anxiety after any cosmetic surgical procedure is understandable as you had a level of expectation and this was not met.  Please give it more time to settle down and express your concerns to your plastic surgeon in a very non confrontational manner.  If you have concerns once you reach the 6  month period then discuss revision of the scar.  From my personal stand point the scar does look a bit high but hindsight is 20/20.  

Very early after your procedure

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Understandably you are worried and concerned but it is very hard to know how things settle over the next 2 to 6 months. At 6 weeks most of the swelling in the breast should resolve and at 12 weeks in the abdomen. It takes 6 months to a year for the final result to show. Follow up closely with your surgeon and if revision is needed make sure you discuss his policy with him.

Good luck

Muffin Top After Tummy Tuck

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   At 7 days you are very swollen, belly and breasts alike.  The scar on the tummy tuck may appear too high now but may change in appearance as swelling goes down.  The breasts will definitely decreased in size as swelling goes down.  If after 6 months to a year, the scar on the tummy tuck is not to your liking, discuss this with your plastic surgeon.  Kenneth Hughes, MD Los Angeles, CA

Tummy Tuck

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You are only 7 days after surgery, the swelling will come down in 6-12 weeks.

 The abdominoplasty incision is way too high and will require revision , if there is enough skin laxity to pull it down. Only time will tell. Noticed the drains are not dressed , the drains require care  follow your plastic surgeon advise on that.

Samir Shureih, MD
Baltimore Plastic Surgeon

Mommy makeover, muffin top, high scar

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  It is VERY important for you to remember that you are only 7 days after your surgery.  This is extremely early to be considering any other procedures until you are about 6 months to a year.  You need to be patient.

  It is amazing how things settle over time.  If you are still dissatisfied over many months, then your plastic surgeon can discuss your options.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.