I'm 6 months post op a full Tummy Tuck with Lipo and bs. Will a lipo revision help my protruding stomach? (photos)

Typically, its best to wait at least one year following the initial surgery to consider a #revision. Information that you read online may not apply to your personal situation. All surgical #procedures carry some degree of #risk. Always discuss your issues and concerns with the Plastic Surgeon during and following your consultation.The suitability of your procedures and any specific risks may be determined during you #consultation. Also, another element to a #satisfying result of your procedures are realistic #expectations.

To be honest, your photos make it a little difficult to tell what is going on (especially lacking the pre-op photos.) And again, to be honest, I agree with you that an abdominoplasty should result in a flat stomach in as much as that is achievable. Sometimes, after a tummy tuck, it is normal to have some bulging above the umbilicus, I have seen temporary fluid collections occur--in those particular cases it will resolve (though 6 months is a bit late for that.)One thing I notice in your photos is that your abdominal muscles seem very relaxed. This speaks to two things: First, maybe you are kind of pushing out your tummy in the photos, and in general. Core body strength and muscle work will improve your result. Second, part of the abdominoplasty procedure is plication (tightening) of the abdominal muscles--hopefully this was done well. Last, I noticed your belly button result isn't ideal (though it is hard to see in these photos.) That appearance may be due to fluid collection, or simply a suboptimal surgery.Overall, it's difficult to tell without pre-operative photos, and a physical exam, but I would say that revision is not out of the question. However, you may be able to correct these problems with minimal weight loss and exercise. There is only so much surgery can do for the abdominal muscles.One thing is for sure: I don't think liposuction is the answer. Hope that offers some perspective. 

Liposuction may be good for you, but you also may have some residual swelling.  It's hard to tell you without seeing you first, but give it another 4-6 months before making any decisions.

One would expect a flatter abdomen after and abdominoplasty. This might require re-tightening of the abdominal wall with or without liposuction it's impossible to tell without an examination.

If your muscle repair sutures become undone, liposuction will not be of any benefit.  You will need replacement of the muscle repair sutures to fix your problem.  Ideally your belly button would be redone at the same time. 

Protrusion of the abdomen following liposuction and
abdominoplasty  may be due to visceral fat which surrounds your intestines which
is not removed with liposuction. This
fat is removed by diet and exercise.

Would like you to have posted before views??? So we could compare the results. Dehiscence of recti sutures can ONLY be repaired in a re operation and re suturing.... NOT LIPOSUCTION! Best to see the differences from before to after recti dehiscence...

I would agree with your surgeon's assessment. It would seem likely that the sutures that tighten the fascia have come undone and you will likely need a revision of that plication. Liposuction will not improve that contour of your abdomen if it is related to the fascia and lateral movement of the muscle.

Though I can't evaluate you without a physical examination, your photos appear to be consistent with your surgeon's assessment, that your muscle repair sutures came undone. The bulging in that case may be due to the separation in the muscles much as if you wore a girdle that had a long rip done the front. The intra-abdominal contents bulge more than if the muscles were sewn together.Patients who lose weight sometimes notice that their abdominal contour flattens out as they reduce the amount of fat deep to the muscles, inside the abdomen.  If there isn't much fat between the muscle layer and the skin, liposuction won't improve the contour.Belly buttons have different lengths. The thicker the layer of abdominal fat, the longer the belly button. Stretching out the abdominal skin during a tummy tuck can thin that layer of fat, contributing to a more slender appearance. However, sometimes the belly button stalk is longer than the layer of fat is thick, and it can be newly prominent.You should discuss your concerns with your surgeon.Click on the link below to see a tummy tuck case done primarily for muscle separation. 

At 6 months you should be able to start an exercise program to strengthen your rectus muscles and see if that helps. It might, as many patients lose muscle tone due to lack of exercise and excessive garment use after abdominoplasty. If a few months of abdominal strengthening exercises does not help at all, you will probably need an abdominoplasty revision. It is hard to envision improving your abdominal contour with liposuction only , as I can see the shadow of your rectus muscles through your skin , and you do not appear to have much fat in the anterior abdominal wall. Your belly button can be much much better and should definitely be revised. Good luck. Daniel Golshani M.D., Beverly Hills.