6 months post-op - do I need a lipo or revision for bulges? (Photos)

Question

I was a plus plus size before an extended tummy tuck. Am currently 6 months post op, and I am seeing some unevenness and bulges on my tummy. I am wondering whether this will resolve on its own through time and exercise, or will I need a lipo/ revision to correct this?

Daniel Barrett, MD · Answer

Dear Compassionate415080,
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

Darryl J. Blinski, MD · Answer

Doing TT in overweight patients limits results as seen here. Why not try to lose 20+ pounds first? before considering additional lipo surgery. Expect liposurgery fee $6,000 ranges.

Douglas Taranow, DO, FACOS · Answer

Congratulations on your abdominoplasty and liposuction.  You seen to be healing very well.
The convexity (roundness) of your abdomen is more commonly internal fat (visceral fat) with some external fat (subcutaneous fat) on top.  This area will only improve with significant weight loss and possibly a bit with anterior abdominal liposuction (this is another procedure, not included with the original abdominoplasty).  The fullness laterally at your hips or flanks will require a touch up liposuction anytime.
Dr. Taranow

Camille Cash, MD · Answer

You will want to wait 9-12 months after surgery before considering a revision in order to allow the final result to be seen.  Some of what you may be noticing is a result of visceral fat, which is fat around the organs.  This cannot be addressed by a tummy tuck, but will improve with weight loss.

Mats Hagstrom, MD (license on probation) · Answer

I think the biggest variable keeping you from looking your best is continued obesity with excess visceral fat causing your abdomen to bulge.

Weight loss is what you need to look better.

Best,

Mats Hagstrom MD

6 months post-op - do I need a lipo or revision for bulges? (Photos)

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Answers (5)

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