Loose skin and bulge 2 years post tummy tuck. Would I benefit from a revision? (Photo)

Sometimes, especially with big abdominoplasties, revisions are required to obtain the optimal result. A revision may just entail liposuction and/or further skin excision. Rarely, the muscle plication may be disrupted resulting in bulging of the deep abdominal wall musculature. In this latter case, the plication sutures will need to be replaced.
I suggest you re-consult with your original plastic surgeon or get a second opinion from another board-certified plastic surgeon.

I hope this helps,
best of luck !

It’s difficult to assess the outcome of a procedure. Your proper before and after pictures shows a fairly flat abdomen but the other pictures you show show of the abdomen is bulging.
The most common reason for a bulging abdomen after a full tummy tuck is due to excess visceral fat. Your preop picture does not show as someone who has visceral fat, so I wonder if you may have gained even a slight bit of weight from the date of your procedure?
Perhaps your provider could’ve been more aggressive. It’s hard to know without an examination.
Excess visceral fat is the number one reason that patients have a bulging abdomen after a tummy tuck with muscle tightening.
I suggest having a few in person second opinion consultation. Ask your provider to forward all of their before and after pictures and bring those with you for the assessment.
Best,
Mats Hagstrom, MD