I hate my results, what do I do? $21,000 later (Photo)

Thank you for your question and photos. I sympathize with you and agree that your results are not good. I believe the main reason is that you were not a good candidate for a tummy tuck in the first place. Your surgeon should've told you that and explain what you could expect. First, you do have lots of intraabdominal fat also known as visceral fat. The omentum or fat apron that drapes over your intrabdominal organs is thick. You should've been warned that you will not achieve a flat abdomen. Second, the liposuction you had is suboptimal. Third, your incision is very high and you are also left with a large pubic fat pad. Fourth, the umbilicus looks like a "Target" sign.
You ask what you can do going forward? I would suggest loosing weight, to get your BMI 25 or below. The next step would be redoing your whole body contouring with a full tummy tuck, lower your incision to the pubic bone level, remove the pubic excess skin and fat pad, VASER liposuction 360 degrees and redo your belly button. All this will not be cheap, costs will be 20-25K+. Do not fall into the trap of little "touch ups" or revisions. These will be disappointing, cost more money (again, badly spent) and will not give you the desired results. As a Total Definer surgeon, I do these surgeries in our certified office surgical suite under deep intravenous sedation.
See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

From the submitted photos it does appear that the liposuction contoured your back and the tummy tuck removed excess skin and corrected abdominal wall laxity. There are some small dog ears that could be addressed to improve the results. It appears the abdominal contour is related to visceral fat, which is the internal fat behind the muscle wall. This is addressed through weight loss as liposuction nor a tummy tuck can lessen it. I encourage you to discuss your concerns with your surgeon.