Revision to flanks - how could I have extra skin removed? (Photo)

Dear Exciting407799,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Excess skin at the hip areas after a tummy tuck are referred to sometime as "dog ears". They can usually be addressed as a minor procedure done under local anesthesia in an office surgical suite. I encourage you to speak to your surgeon about your concerns and discuss your options.

Based on the posted photos you have "dog ear deformities". The right side worse than the left side. Revision by surgical excision is indicated. Fee $4,000. Best to virtual consult with.....

Some patience need an extended tummy tuck or well done liposuction of the love handles and waist in combination. In order to properly reach to do a proper extended tummy tuck or well-done liposuction of the backside patients need to be turned in the operating room. Turning a patient under general anesthesia is done regularly but is avoided if not necessary. It’s quite cumbersome and typically requires six people and can take up to 30 minutes.
The nursing staff and anesthesiologist are not big fans of turning patience during surgery but it is simply necessary to get proper access to do the procedure correctly from the backside.
Some plastic surgeons will do revisions doing an extension or removing the excess skin and or fat as office space procedure hundred under local anesthesia.
Some will do this for free and some will charge patients.
It’s fairly common when revisions are done in the operating room for patients to pay facility and anesthesia fees while the surgeon typically comps any surgeons fee.
That seems to be the most common if the procedure is not done in an office setting.
It sounds like your surgeon is motivated and wants you to have the best outcome.
Revising dog ears is pretty common and as surgeons master their skills the incidence of needing to do this probably decreases to some degree.
Scheduling the procedure as an extended procedure the first time around is substantially more complex and adds significant facility fees and cost.
Best,
Mats Hagstrom MD