9 months post tummy tuck - Is it normal for my tummy tuck to look like this when I am bent over or sitting down? (photos)

Question

9 months post op. Stomach looks fine standing or laying down. Original surgeon in Miami says I need lipo 360. Local surgeon says I don't need lipo to the abdomen but that the issue is the skin could've been pulled down more. I am getting liposuction to the sides, back, and waist.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question and for sharing your photos. From the standing position, it appears that your tummy tuck results are excellent. However, in the seated position, it is evident that excess skin and fat drapes over the incision and lower pubic region.
Based on your photos, it seems like a revision tummy tuck might be necessary to remove this excess skin further. This could be done through the original incision, primarily focusing on excising extra skin and possibly some residual fat. The muscle repair done in your initial tummy tuck should not need to be repeated.
It's important to note that liposuction would not likely be helpful in your case. Liposuction focuses on removing fat but does not address excess skin. Given that your primary issue seems to be excess skin, a tummy tuck revision would be more suitable.
As always, it's crucial to discuss this with your plastic surgeon to come up with the best plan tailored to your needs and goals.
Sincerely,
Dr. Katzen

Daniel Barrett, MD · Answer

Dear rebekah29,
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

Camille Cash, MD · Answer

After a tummy tuck, when a patient sits or bends over some excess skin is normal.  To determine if you have more than what would normally be expected before/after photos would be needed.  If you have excess fat and little excess skin then liposuction should improve your results.  If there is excess skin, then a revision to the tummy tuck would address this.

Mark A. Schusterman, MD, FACS · Answer

Thank you for your question.   In my experience it is very difficult to not have some loose skin when bent at the waist after a tummy tuck.  As far as Lipo 360 I believe you would be a great candidate

Douglas Taranow, DO, FACOS · Answer

Dear Rebekah,
Your photos are less than optimal so answering your questions accurately is difficult.  That being said, both pre-op and post op naked frontal photos would help immensely.  It does appear that you have some abdominal fat that would benefit from liposuction.
Best wishes.
Dr. Taranow

Mats Hagstrom, MD (license on probation) · Answer

Everybody has skin laxity with skin bulging in the sitting position.
It’s not possible to have a tight flat abdomen in the sitting position where you wouldn’t be able to stand up straight.
To make an assessment on the outcome of a plastic surgery procedure we always need to see proper before and after pictures.
If you don’t have before and after pictures then ask your surgeon to forward the ones they took.
Based on your pictures it looks like you had a well done tummy tuck.
 Sometimes reviewing before pictures can help put things in perspective in regards to the improvements the procedure did create.
No one has a tight flat abdomen with their torso and hips fully flexed.Best,
Mats Hagstrom MD

9 months post tummy tuck - Is it normal for my tummy tuck to look like this when I am bent over or sitting down? (photos)

Answers (6)

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