Thank you for your question. A tummy tuck and a tummy tuck revision are two different procedures. A tummy tuck, also known as an abdominoplasty, is a surgical procedure that involves removing excess skin and fat from the abdomen and tightening the abdominal muscles to achieve a flatter and more toned appearance. The muscle tightening is an important part of the procedure, as it helps to address the separation of the abdominal muscles that can occur with weight gain or pregnancy. A tummy tuck revision, on the other hand, is a procedure that is performed to correct any issues that may have arisen from a previous tummy tuck surgery. The specific details of a tummy tuck revision can vary depending on the extent of the revision and what needs to be revised. If the muscle is still nicely plicated from the initial tummy tuck, there may be no need to retighten it during the revision. In general, a tummy tuck revision may involve addressing issues such as excessive scarring, residual loose skin, or the need for additional muscle tightening. It's important to note that a tummy tuck revision is typically a more complex procedure than a standard tummy tuck, and as such, it requires a skilled and experienced plastic surgeon to perform it safely and effectively. I hope this information has been helpful in clarifying the difference between a tummy tuck and a tummy tuck revision. If you are considering either procedure, I encourage you to consult with a board-certified plastic surgeon who can evaluate your individual needs and goals and develop a personalized treatment plan. Thank you again for your question, and I wish you the best of luck in your journey. Sincerely, Dr. Katzen.