Shelf or pouch above tummy tuck scar? 3 years post-op. (Photos)

Depending on your physical exam you may benefit from liposuction, further skin excision, or tightening of the deep fascia... or core strengthening exercises... or all of the above!

Judging by your photos, it would appear that it is more of a muscle bulge than fat under the skin.  It is always to diagnose what the problem is by photos and an exam would be more appropriate to figure out what would help.  One simple thing that you can do is to try to suck in your stomach, if the bulge goes down, then it is likely your abdominal muscles.I would recommend you seek out a board certified plastic surgeon to evaluate you and give you some recommendations.Hope that helps.

Dear  LanaKane,it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The area above the TT incision can be fuller or fuller looking for a variety of reasons including:-thicker fat that needs some touch up liposuction-scar tissue such as pseudobursa-loose abdominal wall near pubic area-general anatomic way your pelvic bones and abdominal wall come together in that area.The first three are amenable to revision.  The last one is not.All the best,Dr. Remus Repta

Sorry for your problem and I would see my surgeon and get his opinion as he knows what he did and what your preop anatomy was like or go on some complimentary consultations with experts and compare recommendations and become fully informed after a full examination Dr Corbin