Had a Full Tummy Tuck, W Muscle Repair, & Flank Lipo, Breast Lift and Aug 375cc, 1 Year Ago. Unsure of My Results? (photo)

I'm a fit, trim, athletic 44 yr. old mom of 4. 5'5''133 lbs since age 18. I exercise daily & eat healthfully, I had these procedures to boost my self esteem. Now I look in the mirror and cry as before surgery. I have a pooch, indentation on my hip, love handles, jiggly abdominal fat, a resolved hematoma on my llower ab appears to have a bulge and higher scar, waist/hip measurements are same as pre-surgery My Board Cert PS says lipo will resolve pooch. What do you think? I waited 26 yrs. for this : (

Doctor Answers 11

Had a Full Tummy Tuck, W Muscle Repair, & Flank Lipo, Breast Lift and Aug 375cc, 1 Year Ago. Unsure of My Results?

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You are ready for scar revision of the "pooch" area. Seek in person evaluations from your surgeon or another boarded PSs

Very fixable result

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With full abdominoplasties, there is often a choice between a higher incision versus a lower scar with a vertical closure of the umbilical defect.  In this situation, the umbilicus is appropriately positioned and the contour of the upper abdomen appears quite acceptable (at least by the photos provided).  In this situation for a higher incision with shelving and fullness centrally, I would advance the skin flap lowering the incision and perform a thinning procedure with direct excision of the fat between the belly button and the existing scar.  I believe this will significantly improve your result!  Left dogear could be fixed as well.  Liposuction alone will not address all of these issues. Do not fret, this is very fixable!

Revision Tummy Tuck and Liposuction

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     Although I think you definitely look better than before surgery, there is residual fat that could be liposuctioned and the tummy tuck scar could be lowered and make you flatter at the same time.  I would go back to your original surgeon, as he or she will likely give you a discount on the procedure.  If you desire someone else, find the board certified plastic surgeon with ELITE credentials who performs mommy makeovers hundreds of times each year.  Kenneth Hughes, MD  Los Angeles, CA

Don't cry!

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Hi Hope,


thank you for the post and the pics. Your result isn't perfect. But you know, NO ONE is perfect. The doctors here aren't and neither are you. However, a board certified plastic surgeon will be able to correct and improve what you have. Based on the pics, seems like the correction needed would be the following:  

1. you seem to have gained a small degree of weight. Is that true? Try to lose that first. 

2. A touch up lipo for the lower abdomen would thin this area down and make it smoother. 

3. possible lower tummy tuck scar revision to correct the indentation. 


this is something your PS can do as a minor procedure. You should still take a couple days off of work to recover. Hope that is helpful! 



Frustrated after mommy makeover

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I am sorry you are unhappy after undergoing a MM. Its very easy for surgeons to look at before and after photos and criticize the results. Its not unusual to look back and see things that perhaps could have been done differently, even by the surgeon who did the work. Without examining you, its difficult to say whether lipo alone would be the best option, or completely redoing the TT. I would suggest get second or third opinions from a board certified plastic surgeon in your area.

Paul Wigoda, MD
Fort Lauderdale Plastic Surgeon
4.8 out of 5 stars 30 reviews


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Your abdominoplasty scar is too high, there is some bulge in the lower abdomen, could be fat or scar from the hematoma, flnks scars need revision.

You probably need also lipo of the abdomen and flanks with complete revision of the lower abdomen.

Samir Shureih, MD
Baltimore Plastic Surgeon

Unsure of My Results?

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Thank you for your question and for the attached photos. Although there is improvement, there is margin for considerably more. 

My suggestion would be re-elevate the lower part of the TT (below the navel) and to stretch out the skin and fat in order to make the scar lower. This  I believe, with give more improvement than liposuction which would not address both abdominal issues. In addition, it may be that more muscle tightening can be done, something else that would not improve with lipo alone. 

The left end of the TT scar could be revised. The contour irregularity in the hip area could be grafted with fat harvested from the flanks.

Hope this is useful. All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

Revision surgery

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I think that an exam in person is critical to properly evaluate you.  You certainly have a significant improvement from your pre-op appearance.  You may benefit from liposuction or revision abdominoplasty.

Full abdominoplasty revision

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Thank you for the question and the photos.  I think there are improvements that can and likely should be made with regards to your abdominal appearance.  Your options are to fine tune your abdominal appearance through liposuction and scar revision or to re-do the entire abdominoplasty.  I feel strongly that a full tummy tuck revision would provide the best result.  Below is a link from a few patients that have undergone a full tummy tuck revision and shows the types of improvements that can be expected.

All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 170 reviews

Revision Abdominoplasty in Combination with Liposuction of Flanks and Upper Abdomen

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It’s not unusual for patients to require secondary revisional surgery when they undergo a mommy makeover procedure of this magnitude. Your pictures suggest several problems including a high incision with a persistent fold of redundant abdominal skin and fat above the incision. In addition, there’s residual flank fat with associated contour irregularities of the hips and abdomen.

Although your pictures are helpful, it’s difficult to make a definitive recommendation without being able to perform a physical examination. The scar position can be especially problematic, because it involves a series of tradeoffs. Sometimes having a lower scar means also having a midline vertical incision above the transverse scar. These are difficult decisions for both the patient and surgeon.

Although liposuction would definitely help many of these problems, it wouldn’t address your excess abdominal skin and scar position. Correction of these problems would require revision of your abdominoplasty in combination with liposuction of the flanks and upper abdomen. This would require a lowered abdominal incision with removal of excess skin and fat in the area above the pubis.

When these steps are taken, the majority of patients will be happy with their abdominoplasty revision. If you’re concerned about your aesthetic result, consultation with your plastic surgeon is appropriate. Your surgeon should be able to formulate a plan that addresses your concerns.  

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.