Is it common for some patients to need a second tummy tuck procedure?

Looking at your immediate post op appearance, you can be certain that your surgeon took as much skin as possible. It also looks like in the early post op period you may have had an infection and/or a collection of fluid in the lower abdomen. It is clear that you now have residual skin excess in the lower abdomen, something that could have happened even with ideal healing; persons who have had significant excess weight loss have skin that does not reliably stay tight, and can frequently benefit from retightening. There is no clear evidence that your suboptimal result was due to surgeon error or suboptimal execution. I don't know about you, but as a cosmetic plastic surgery patient myself, I wanted my surgeon to feel that his time and energy was properly remunerated.

It is not typical that patients need a revision after a tummy tuck, but it can occur. From your description it seems you have good communication with your surgeon. I encourage you to discuss your thoughts with him/her. Your photos show that you have had significant improvement from your tummy tuck and now are going back to fine tune some things.

Dear Charming908008,
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