Are my results ideal? 6 months post op, minimal swelling but unhappy with roundness (photos)

Question

I'm looking for opinions on my work. I'm 6 months post op. Tummy tuck, floated bellybutton only and a U incisson there, along with diastasis repair. I've never been overweight, just pregnant, and didnt have too much skin, but I'm still not happy with how round i still am, my swelling is very minimal at this point.

Gerald Minniti, MD, FACS · Answer

Although an examination is required to make an accurate diagnosis and a correct surgical plan, it appears you have a lot of residual skin, possibly residual muscle laxity, and residual adiposity. You'll need a full revision, but not until at least one year after this surgery.

Arif Eroglu, MD · Answer

Hello:“When only a classic tummy tuck is performed, this type of swelling can be seen in the lower abdomen. First, an ultrasound should be conducted to ensure that there are no accumulations (related to seromas or hematomas). Once confirmed, the issue can be resolved by removing the fat with Vaserlipo.”

Joel Patrick Maier, MD · Answer

See my prior answer, but after review of these photos, I think liposuction will be powerful in flattening the upper and lower tummy. I think your skin will retract nicely, so no more skin removal needed. Thank you.

Daniel Barrett, MD · Answer

Dear pocoyo_pico,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

You still have too
Much skin in the lower abdomen. Pretty straightforward to remove more skin but your scar may need to be made longer

Connie Hiers, MD, FACS · Answer

You still have some excess lower abdominal tissue which can be removed with a repeat lower mini tuck. The umbilicus does not need to be touched. A vertical component could also be used to tighten even more.

Camille Cash, MD · Answer

It would be helpful to see your pre op photos to compare them to your results. Based on the submitted photos it does seem that you would benefit from further revision as there appears to be excess subcutaneous fat and skin that could be addressed.

Kenneth R. Francis, MD, FACS · Answer

Dear picoyo,
There are many unknowns here.  The first and most important may be what you looked like before your surgery.  Another is exactly what surgery that you had.  A floating umbilicus tummy tuck does not require ANY incision around the belly button.  Was there liposuction performed?  The morning compared to afternoon photos, although different angles and focal lengths appear to show that you do have continued swelling.  Continue to follow up with your plastic surgeon for guidance and maybe ask these questions.  Good luck!

Mats Hagstrom, MD (license on probation) · Answer

There are four tissue valuables that determine what the abdomen looks like.
This is generally true whether someone has had surgery or not.Four variables that determine what the abdomen looks like the following1)) Abdominal skin laxity, typically due to weight loss or previous pregnancy.
2) Excess subcutaneous fat.
3) Muscle separation from previous pregnancy.
4) excess visceral or intra-abdominal fat
I’m not a fan of floating belly button tummy tucks. It looks to me like you have a scar around your belly button. Are you sure you had a floating belly button?
To assess if skin laxity is contributing, try pulling the skin tight as it changes your contour.
To assess the thickness of subcutaneous fat gently press your finger against the skin until you feel the underlying muscle wall. ( this require very little pressure) i’m guessing the thickness of your subcutaneous fat on your lower abdomen isabout 1”. 
If your muscle wall is bulging, then it’s either due to insufficient muscle tightening or excess visceral fat.
To differentiate between the two, we usually see how much pressure it takes to push the abdominal wall into a straight position(B-line between the sternum and pubic bone) 
Alternatively, take a picture of your abdomen, laying on your back to see if it goes completely completelyflat or drops in. 
Your surgeon should be able to help assess your outcome. 
To make a quality assessment we need quality pictures. 
If you don’t have a complete set of proper before, and after pictures, then ask your surgeon to forward the pictures they took. 
Best,
Mats Hagström MD

Are my results ideal? 6 months post op, minimal swelling but unhappy with roundness (photos)

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