Will a Third Tummy Tuck Surgery Be Necessary?

It's unfortunate that your expectations were not met and/or the anticipated results were not made clear by your surgeon. You can end up with a small vertical incision between the belly button and the lower horizontal incision if you do not have enough skin that can be removed between the original belly button and the lower abdominal incision. Most surgeons will discuss this with you preoperatively, as another option is to "float" (or disconnect) the belly button stack and reattach it lower to avoid that vertical scar (that you called the "crack").

As far as feeling bloated up high under the breasts, that is probably due to the muscle plication or tightening that was done during the abdominoplasty. I cannot tell from your description, but if you are having an outward bulge, that is likely above the area that was tightened, so when you bloat its the easiest area to bulge. If the bulging is felt inside and not seen outwardly, it is a result from the amount of tightening that you had, which decreases the amount of room your intestines have to expand. If you are having problems now I would discuss them with your surgeon. In a situation such as this I also think it would be a good idea to find a board certified plastic surgeon for a second opinion. It is helpful if you obtain the operative reports from your surgeon to take with you to that visit. Best of  luck!

It’s unusual
for patients to require a third abdominoplasty procedure.Your history is very concerning because you
continue to have aesthetic concerns and now functional issues as well.It’s virtually impossible to
evaluate your aesthetic results without pictures or a physical
examination.Your issue with bloating is
probably related to the muscle plication, but again this requires an
examination to fully evaluate.This is a complicated problem that has
aesthetic and functional components, for this reason it might be helpful to
obtain a second opinion from a board certified plastic surgeon with experience
in this area.This surgeon should be
able to formulate a treatment plan that addresses your anatomic findings and
achieves your aesthetic goals.

Your case if very complex. You need to consult with a board certified plastic surgeon who specializes in tummy tuck surgeries and who can show you results as well as discuss your options with you "confidently".  Really, you need someone to examine you - doing it online is not a good choice.