12 months post-op, not happy with the results of my tummy tuck. What can be done to fix this? (Photo)

An examination is needed to see what the bulge may be. If it is residual fat, liposuction could be done. If it is a hernia, it could be repaired. If it is weak abdominal muscles that were not tightened above the belly button, or the suture broke, that would require surgery again to be repaired. EMSculpt could be started to see if the muscles could be made tighter if no hernia is present. Please discuss this with your surgeon.

Dear Nickky,
It does not appear that your abdominoplasty plication (tightening) was very aggressive. The bulge may be either fat (which may be liposuctioned along with touching up your lower abdomen, hips and sides) or looseness of the Rectus fascia (abdominal muscles-which would require revising the abdominoplasty with suturing the muscles).
Best wishes,
Dr. Taranow