Excess skin in lower abdomen and dog ears - can I get a Tummy Tuck Revision? (photos)

Question

Hello! Question based on my picture can someone tell me if I can get a second TT? The excess skin in my lower abdomen is really bothering me. I would love to have my Abs defined and maybe get a back lipo and back lift. Please advice! I also have the dog ears and that bothers me too.

Raffy Karamanoukian, MD, FACS · Answer

Abdominoplasty scars can be quite complex, ranging from the simple hypertrophic scar to a multiplane inflamed keloid. Pigmentation, discoloration, chronic inflammation, scar visibility can all occur in the short term. We begin each treatment with combination therapy using Yellow broadband BBL, Vbeam, fractional erbium, intralesional IIT, and scar modulation. Start with a combination of Plato's Scar Serum massaged twice daily after one week of epithelialization followed by Luminase/Exfolase. Scar consultation and revision may be recommended.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Daniel Barrett, MD · Answer

Dear Luckygirl_1,
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

Camille Cash, MD · Answer

An in person evaluation or further photos are needed to determine the best recommendation for you.  If dog ears are present they often can be addressed under local anesthesia in the office surgical suite.  It is possible to have a revision to your tummy tuck if needed.  You can also consider back lipo or a back lift if desired.  Visit with a board certified plastic surgeon near you to learn more.

Douglas Taranow, DO, FACOS · Answer

You can certainly revise your abdominoplasty,  tighten your belly and lose the dog ears.  Abdominal definition might require a touch of liposuction 
Dr. Taranow

Mats Hagstrom, MD (license on probation) · Answer

Everyone is going to have skin laxity with their hips fully flexed in the sitting position.

We make assessments based unpatience in a standing position.

Either repost with pictures in the standing position showing the front side and back or better yet have a few in person consultations with local board-certified plastic surgeons or follow up with the surgeon who did your procedure.

Best,

Mats Hagstrom MD

Richard P. Rand, MD, FACS (retired) · Answer

The only way to fairly assess a tummy tuck result is in a full standing position. When you sit or crunch down there will always be some "extra" skin especially as you have many stretch marks indicating poor skin elasticity. A tummy tuck can make you look smooth and flat but can never make you "tight." Realistic expectations are a key to happiness. So, please repost with full standing views. Nobody would suggest any revision for what is seen in this one picture.

Excess skin in lower abdomen and dog ears - can I get a Tummy Tuck Revision? (photos)

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