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

Everybody will always be able to pinch a certain amount of skin, especially of their lower abdomen, when they sit. So this is not a good indicator of your results. You should discuss the bellybutton with your plastic surgeon to see about the possibilities of a revision.

Hi, revisions for tummy tuck pr liposuction can be done starting at 6 months postop. excess skin above the belly button can mean lots of preop diagnosis. liposuction with different technologies can be done to improve your figure. have a great day. Dr. C

It is too early to comment on results, in particular very subtle one like yours. When you are sitting it is normal to have extra skin to pinch because no skin is so tight and elastic to contract that much. Without in person evaluation it would be hard to suggest whether more aggressive liposuction of upper abdomen and tights (legs?) would be possible. In any case, I would suggest waiting at least one year before new liposuction since severe fibrosis after liposuction may preclude further improvement. Loosing few pounds may be another (better) option. Good luck.

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. 

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.

Your tummy tuck looks fine. You can always grab some skin no matter what is done. It is impossible to fully evaluate your lipo results from the photos. It also depends on your expectations. While I think it is likely no revision would be indicated, you should see a board certified plastic surgeon for an evaluation to see if you have any reasonable options.