TT and lipo revision: do I need a revision? (Photos)

Thank you  for the question and pictures. It is very unusual for an "ideal outcome" to be achieved. Whether or not you should undergo revisionary surgery will mainly depend on your level of concern with your outcome as well as a careful consideration of the potential risks/complications associated with additional surgery.
  
Exactly what operation would be indicated (if any) would depend on your specific concerns/goals;  these concerns/goals are best communicated in front of a full-length mirror.  Careful physical examination would allow for accurate diagnosis;  exactly what is causing the "puffiness".  Most commonly this prominence may be related to  abdominal wall laxity and/or residual adipose tissue.  Many women preferably the umbilicus to be smaller and more oval;  if your umbliical shape/size is of concern, then revisionary surgery may be helpful.
 Communicate your concerns directly with your plastic surgeon, preferably in front of a full and there. Working together you will come up with good plan to proceed with. Best wishes.

To start, everyone, and I mean everyone, can pinch some stomach skin when they sit down. You have to have enough skin for your body to move appropriately!! I would discuss your concerns with the surgeon that performed your tummy tuck, as I assume they want you to have as good of a result as possible! AN open and honest discussion and evaluation will help you and your surgeon agree on a plan.