60 yr old female, 4'10", 148 lbs - is my fascia too stretchy & nothing can be done? (Photos)

Thank you for your question regarding what can be done for your abdomen one year after a tummy tuck. In regards to your specific case, I would suggest mesh supplementation. Additionally, you may want to consider insertion of mesh, as it could help anchor your abdominal wall. A large piece of mesh may be required to get your abdomen flat, possibly an 8“ x 10“ piece to get complete repair of the rectus fascia. You've come a long way from your before pictures. However, I think by inserting mesh, you will have optimal results. I hope this helps answer your questions regarding what can be done one year after a tummy tuck with fascia that is too stretchy.

Sincerely,
Dr. Katzen

I agree with you that this is disappointing, however there may still be some things you can do.

I recommend you tighten the muscle and fascia layer as much as you can with exercise to strengthen your core. This will be a gradual process, and can help flatten the tummy. You may want a personal trainer to assist you with finding the right exercises.

To go along with this, my second suggestion is to loose a bit of weight. The reason I suggest this, is that intraabdominal fat can make the abdomen bulge and appear bloated.

I agree that more surgery will not be helpful.

On a positive note, I do see improvement from your pre-op photo.

All the best to you,
Dr. Nancy de Kleer

Dear Sincere219028,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery