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

Question

I had a tummy tuck with muscle repair. My doctor said he could not do lipo because it would look lumpy. I have ended up with a lower tummy bulge that I am not sure if it's fat that has settled there or maybe my muscle repair was not done tight enough. I am also not happy with my shape as my waist is wider now than before the procedure. What are my options here? Do i need a full revision?

J. Timothy Katzen, MD, FACS · Answer

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

Daniel Barrett, MD · Answer

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

Camille Cash, MD · Answer

It's difficult to comment on your results without seeing your before photos.  It does appear you may have some contour improvement with liposuction to address subcutaneous fat.  In order to further tighten the abdominal wall a revision would be needed.

Ira H. Rex lll, MD · Answer

It is unlikely you were waist size changed much. Sometimes after a tummy tuck, clothes sit differently. Much of the waist contour is determined by the underlying bone. From your photographs, it seems that you may be a candidate for tightening the muscles. You should consider going back to your plastic surgeon and discuss the possibility of additional tightening.

Guler Gamze Eren, MD · Answer

Thank you for your question. You have a pretty good result with TT. Liposuction can be done if you have on love handles and it will lower the curve of the waist. You must do work out to strengthen your abdominal muscles to reduce the bulge.

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

Answers (8)

Answer: Revision?

Answer: Revision?

Answer: Additional liposuction

Answer: Additional liposuction

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Everything you need to know about Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.

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

Answers (8)

Answer: Revision?

Answer: Revision?

Answer: Additional liposuction

Answer: Additional liposuction

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Recommended reading

Everything you need to know about Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.