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3.5 Months Post Tummy Tuck and Lipo – Is there any way to determine if the remaining fat is internal or external? (Photos)

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LoloJakoNov 13, 2025
I’m 3.5 months post tummy tuck with liposuction, and my results look much worse than before surgery. My stomach is still square, bulky, and uneven, with dog ears and a thick, irregular scar — it looks disfigured or deformed, not contoured. At every follow-up appointment, my surgeon kept telling me my tummy would become flat over time. But only after I sent an email saying how bad it looked, he suddenly told me the issue is internal (visceral) fat that can’t be removed with liposuction. This was never mentioned before or during recovery. I’ve been wearing my compression garment 24/7 since surgery (only removing it to shower), and my weight hasn’t changed — I was 124 lbs before surgery and still am now. Is there any way to determine if the remaining fat is internal or external?

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From board-certified doctors and trusted medical professionals
Dr. Darryl J. Blinski, MD
Board Certified Plastic Surgeon
Answered on Nov 18, 2025
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Zoran Potparic, MD

It would be wise to wait at least few more months for result of your tummy tuck to settle; your belly button may decrease is size/projection further. Small reduction in local anesthesia, when the time comes, may be considered. Good luck.

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Oliver Chang, MD

Based off your photos - there are bilateral dog ears (sometimes left to help allow the tummy tuck incision to heal and close better in the middle. Dog ears are easy to correct in exchange for more scarring towards your back. For the anterior abdomen, I would recommend you try toning (Pilates)...

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Ozge Ergun, MD

This is Dr Özge Ergün My idea is to perform another scar revision. There won't be any tension like the tummy tuck procedure, and since there will be less post-operative tension, there won't be any scarring. Initiating scar treatments early after surgery can yield better results.

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