Weight loss or lipo or revision?

There are four variables that determine what the abdomen looks like.
In other words, if somebody doesn’t like the way, their belly looks it is because of one or more of four different reasons.
The four variables that determine what the abdomen looks like are the following.
1) abdominal skin laxity typically due to previous pregnancies or significant weight loss.
2) excess subcutaneous fat.
3) muscle separation from previous pregnancies.
4) excess visceral or contra abdominal fat.
Skin laxity, and muscle separation are not contributing since you’ve already had a tummy tuck.
That leaves only excess subcutaneous fat and visceral fat as being due to potential culprit.
While both of them are made worse by obesity excess visceral fat is the number one reason patients have a bulging abdomen after a full tummy tuck.
The only way to reduce visceral fat is through weight loss and weight loss is what you need more surgery.
You don’t need more liposuction you need to lose weight.
you may or may not be a good candidates for Liposuction but first and foremost you should lose weight.I think the two first plastic surgeons you spoke with served as good patient advocates.
The surgeon who did your procedure should’ve made a more accurate assessment and described the inherent limitations of doing the procedure without successful weight loss first.
Best,
Mats Hagstrom, MD