Hello jolee65, Thank you for reaching out with your concerns about the bulging in your upper belly following your tummy tuck procedure. While it's challenging to provide a definitive assessment without photos, I can offer some insights based on your description. One possibility is that the bulging in your upper belly could be due to visceral fat. Visceral fat is the type of fat that surrounds your internal organs and is not visible from the outside. Unlike subcutaneous fat, which is found just beneath the skin, visceral fat is deeper within the abdominal cavity. Losing weight through a combination of diet and exercise is typically the most effective way to reduce visceral fat. Alternatively, if the bulge is caused by subcutaneous fat, which is fat located just beneath the skin, there are different approaches to address it. One method to determine if the bulge is subcutaneous fat is the fat pinch test. This involves pinching the skin and tissue in the area of concern. If you can grasp a significant amount of tissue, it may indicate subcutaneous fat. If subcutaneous fat is the culprit, liposuction could be an option to remove excess fat and improve the contour of your abdomen. Liposuction is a surgical procedure that suctions out fat from specific areas of the body to create a more sculpted appearance. Your plastic surgeon can evaluate your condition and discuss whether liposuction is suitable for addressing your concerns. It's essential to consult with your plastic surgeon for a thorough evaluation and personalized recommendations based on your unique anatomy and goals. Your surgeon can assess the cause of the bulging and recommend the most appropriate course of action to achieve the desired results. I hope this information helps shed some light on your situation, and I encourage you to schedule a consultation with your plastic surgeon for further guidance. Sincerely, Dr. Katzen