Abdomen lost shape after tummy tuck. Is there anything that can be done about it now?

Thank you for reaching out regarding your concerns about the outcome of your lipoadminoplasty with diastasis recti repair. I understand how disappointing it must be to not see the desired results after undergoing such a procedure.

It is important to note that every patient's body reacts differently to surgery, and while most patients see positive outcomes, there are some who may experience complications or less than desirable results. Fat necrosis is a known risk associated with liposuction, and unfortunately, in your case, it has resulted in the loss of shape in your abdomen.

In cases where the fascia stretches out, it can be challenging to regain the previous shape through revision surgery. However, there are options available that can help improve the appearance of the abdomen. It is essential that you consult with a board-certified plastic surgeon who specializes in revision surgery to determine what the best course of action is for you.

Regarding the compression garment, while it can help minimize swelling and aid in the healing process, it may not necessarily prevent fascial stretching or loss of shape. However, it is always recommended to follow your surgeon's post-operative instructions carefully to optimize your results.

I empathize with your frustration and disappointment, and I encourage you to discuss your concerns with your plastic surgeon or seek a second opinion from a board-certified plastic surgeon who specializes in revision surgery. They will be able to provide you with the best course of action moving forward.

I wish you all the best in your recovery journey, and I hope you achieve the desired outcome you were hoping for.

Sincerely,
Dr. Katzen

Hello @Gorgeous961732, thank you for your question. It is convenient to evaluate in person to obtain a better understanding of the potential for change and improvement as a result of surgical and non-surgical processes and to have expectation according to what the specialist can do. As well as to allow sufficient time after the event to recover. For more information and recommendations, it is prudent to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Dear Gorgeous961732,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You did not post photos, so I would suggest discussing this with your surgeon who has examined you. Without photos, I cannot say much.

Hi, Gorgeous961732 ! Thank you for your question.
It is best to do a thorough physical examination, and may be an ultrasound imaging to understand your situation. Can you send some photographs for better evaluation, please?

I'm sorry to hear of the issues you had after your tummy tuck. From your description the best way to address your issues is with a revision. The abdominal wall will need to be repaired to improve your results. Visit with your surgeon to discuss your options.

You might be a good candidate for a Re-do abdominoplasty( Tummy tuck), based on your explanations.You would likely benefit from a high definition tummy tuck using high definition VASER liposuction. The tummy tuck procedure would comprehensively remove excess skin and fat in the abdominal region. The abdominal muscle would also be 'tightened' to create the appearance of a flatter stomach. A Skype or FaceTime consultation with a tummy tuck specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Hi and welcome to our forum!
Fat necrosis after abdominoplasty is an uncommon complication, and occurs most often in patients suffering from diabetes, collagen vascular disease, or atherosclerosis, or who develop postoperative infection, or vascular compromise. It most often occurs at the anterior midline at the flap junction (where the blood supply is poorest) and may result in delayed healing / later scarring.
Revisional procedures are available, depending upon the size and location of the unfavorable scarring.
Revisit your plastic surgeon for evaluation and discussion.
Best wishes...