Can visceral fat cause a perfectly flat tummy tuck to bulge weeks later? (photos)

The easy response is YES!. But you need to compare your before vs 9 week afters - GREAT result. If you are NOT satisfied than I would try to lose 20 more pounds first and exercise to strengthen your abds.... 

Hi PinkeeI do not think that your Plastic Surgeon helped you set realistic expectations. At that weight for your height (at the time of your operation), there is likely to be substantial visceral fat in your abdomen which will over-ride the results of your Plastic Surgeon's operation with time. Visceral fat can only be removed through weight loss, and not surgically.You are now over 8 weeks post op and you should be back to doing everything that you want to physically. Your best way forwards (as harsh as it sounds) is to continue losing weight. As you lose that visceral fat, your shape may change back to what you were hoping for. If it does not, it may be due to ongoing internal stretching of your abdominal muscles and the post operative stretch on your abdominal skin.Sorry to hear that your result was not what you expected.Dr Gavin Sandercoe

Hello and thank you for your photos and question. I'm sorry you're unhappy after your surgery. Have you been in for your post operative exam? There does seem to be a difference between your 10 days after picture and your 9 weeks after picture. Since your doctor is the one who performed your surgery, he is the best person to help determine what is going on. Two months out from a full abdominoplasty is still very early to judge final results. Perhaps continuing to wear your support garment may help. If it is visceral fat, perhaps continuing on the plan that helped you loose the weight before your surgery would improve abdominal contour. Good luck on your continued recovery.

Thank you for your question.  The answer to your question is yes visceral or intra-abdominal fat can certainly cause the abdomen to bulge even after tummy tuck.However based on your photographs I am surprised at the extent of the bulging considering how good you looked at 9-10 days.  Have you gained significant weight since her operation?  Has the surgeon examine you for the possibility of seroma?  Is very possibility that sutures placed to repair your diastases recti have failed.I suggest you revisit your plastic surgeon for an abdominal examination and asked the doctor if an abdominal ultrasound might be indicated.