Do I need a revision to correct bulge and waist shape after tummy tuck with muscle repair? (photos)

Hello parisprincess,

Thank you for your question regarding the bulge and waist shape after your tummy tuck with muscle repair.

Assessing Your Current Results:

From examining your photos, it does not look like you need a full revision of your tummy tuck. The bulge you are experiencing and the wider waist may be due to residual fat or the natural settling of tissue post-surgery.

Options for Improving Contour:

Liposuction:

Liposuction can be a great option to further contour your abdomen and flanks. It can help remove any residual fat and create a more defined waistline. Liposuction can be performed safely without causing lumpiness if done by an experienced plastic surgeon.

Muscle Repair:

If you are concerned about the muscle repair not being tight enough, it is essential to consult with your surgeon to ensure the repair was done correctly. However, from your description and photos, it seems more likely that the issue is related to fat distribution rather than muscle laxity.
Next Steps:

Consultation with Your Surgeon:

Schedule a follow-up consultation with your surgeon to discuss your concerns. They can evaluate the results and determine if liposuction or any other procedure would be beneficial.
Customized Treatment Plan:

Work with your surgeon to develop a customized treatment plan that addresses your specific concerns and desired outcomes.
Conclusion:

Based on your photos and description, it does not appear that you need a full revision. Liposuction could help contour your abdomen and flanks, giving you the shape and definition you desire. Consult with your surgeon to explore this option further and ensure it aligns with your goals.

Good luck, and I hope I’ve answered your question regarding your tummy tuck results and options for improving contour.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic Surgeon

An examination is needed to see if the bulging is above the muscle or below the muscle and how tight the muscle now is. Some have internal fullness, often from food allergies, that surgery will not change.

Dear parisprincess,
I understand your concern. Based on your photos, it looks like you won't need revision tummy tuck to correct it. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery