At two years after a tummy tuck, your result is generally mature, so persistent looseness or fullness around the hips is usually not just swelling. It may be residual flank skin, remaining fat, skin quality, scar position, weight change, or tissue that a standard tummy tuck did not fully address. Without an exam, it is not possible to say whether it is within the expected range or something that could be improved. If your weight is stable and the area bothers you, meet with your original surgeon or a board-certified plastic surgeon for an in-person assessment. Depending on what is found, options may include targeted liposuction, scar revision, an extended tummy tuck revision, or a small skin excision. Seek prompt evaluation if you have new pain, redness, warmth, drainage, increasing swelling, or a firm enlarging area.