9 months post tummy tuck. What can be causing roundness in lower abdomen and which procedure can help minimize this?

Question

I had an extended tummy tuck 3/18. I foolishly asked my surgeon to not do the muscle plication but he did end up doing "a few stitches below the navel". I'm happy with my tummy from the front, though I'd like a more hourglass shape. I am not happy with the way my lower tummy sticks out from the side and wish i looked less thick. When i lean back it looks perfect. What causes my round lower tummy and what, if anything, can i have done to make me look as i do leaning back?

Camille Cash, MD · Answer

From your photos and description it is likely the contour that is bothersome could be solved with muscle plication.  This would obviously require a revision.  It's doubtful that liposuction would improve it.  I encourage you to speak with your surgeon about your concerns.

Zoran Potparic, MD · Answer

It would be hard to tell you exactly what to do without in person evaluation. Excersise of abdominal muscles should tighten your abdomen (not sutures); possibly small liposuction in the areas of prominence and laterally may further improve your shape. Hope this helps.

Farbod Esmailian, MD · Answer

Althought it is difficult to say what was exactly done in your surgery, it does appear that you may benefit with further muscle plication.  If you have a rounded lower abdomen (protrusion) and it goes away with sucking in your tummy, then that would indicate to me that you still have some laxity in the abdominal wall.  This laxity would be addressed by tightening i.e. plication.

Hope that helps.

Daniel Barrett, MD · Answer

Dear mango88,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You can do EMSculpt to tighten your abdominal wall and remove excess fat both outside and inside your muscles.

9 months post tummy tuck. What can be causing roundness in lower abdomen and which procedure can help minimize this?

Answers (8)

Answer: Tummy tuck results

Answer: Tummy tuck results

Answer: Abdomen

Answer: Abdomen

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Everything you need to know about Tummy Tuck Revision

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9 months post tummy tuck. What can be causing roundness in lower abdomen and which procedure can help minimize this?

Answers (8)

Answer: Tummy tuck results

Answer: Tummy tuck results

Answer: Abdomen

Answer: Abdomen

Browse related questions

Recommended reading

Everything you need to know about Tummy Tuck Revision

Our mission is to create a world where every investment in modern beauty is Worth It.