Still have loose skin after tummy tuck when sitting down. Do I need a revision? (Photo)

Question

Hi everyone, I have 1 week that I did a tummy tuck and I know is too soon and that I'm still swollen. But when I sit down I still have loose skin. I really dont want to get disappointed. I worked so hard to do this and Im not happy with what I'm seen. Is this possible having loose skin when I sit down? How long after a tummy tuck you have to wait to do a reversion? And you I have to pay for a reversion by the same doctor? Please help and thank you everyone.

Robert M. Tornambe, MD · Answer

It is much too early in your postop journey to consider revision. Follow up with your surgeon and try to be patient

Gary Lawton, MD, FACS · Answer

Everything will depend on what your starting point was.  It looks good with you standing.  There will always be some loose skin when you sit.

Robert Drielsma, MBBS, BSc, FRACS · Answer

Its important at this stage of your recovery to be patient.  Swelling is at its maximum at this stage of your recovery and its impossible to determine your final result at this stage.  You will need to wait around four months or so before you see your final result.  Its normal to have some wrinkling of the skin in a seated position and much of your result know depends on where your started from before surgery.  If you remain unhappy with your results down the track then you will need to discuss revision with your plastic surgeon.  Each surgeon has their own revision surgery policy and you should check with your surgeon.

Aramis Vega, MD · Answer

It is my pleasure to answer your question. There is loose skin when patients sit. I recommend you to wait at least 3 months post op for partial results. Final results could be reached at 8 to 12 months.

Ernest Layton, MD · Answer

Thank you for your question.  First of all, you are only 1 week post op.  You need to have patience.  Your body is doing a lot of healing right now.  You still have a lot swelling going on.  I think for 1 week, your results are right on track!  It is normal for everyone to have a little extra skin when they sit down.  If you didn't have that extra skin, then you you wouldn't be able to stand straight up.  The alternitive to this would be your Dr removing to much skin and you having too much tension on your incision and then you would be having complications like delayed healing or tissue necrosis(dead skin).  I would not advise any revision for at least 6-9 months.

Robert L. Kraft, MD, FACS · Answer

First, you are only one week postop!  Give it a chance! Second, if you were totally flat, you wouldn't be able to sit down.  The body does need some stretch!  In terms of revision, I don't recommend doing anything for the first six months. Every surgeon should have his or her own patient agreement which would delineate your responsibilities for revision.

David Graham, MD · Answer

First of all, you are too early postoperative to judge the final result. You still have swelling, which may persist for several months. Try and be patient as things tighten and heal. Secondly, it is normal to have loose skin when you sit down. If your skin is tight in a seated posture you won't have enough skin when you straighten your posture. One of the biggest mistakes a surgeon can make in tummy tuck is to pull the skin too tight. This tightness can result in tissue death and open wounds, which is much less acceptable than some extra skin.  I think you have a nice result which will only improve with time.

Raymond Jean, MD · Answer

I would not worry at this point your final results from tummy tuck can take 3-6 months.  Over this time swelling will decrease and skin will further tighten.  I would not consider revision until at least 9 months post op but hopefully you will not need a revision.  Best of luck with your recovery.

Still have loose skin after tummy tuck when sitting down. Do I need a revision? (Photo)

Answers (8)

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