Options to try to correct the uneven contour after Tummy Tuck? (photos)

Thank you for a question regarding options to correct the uneven contour after a tummy tuck. Thank you also for your pictures. In examining your pictures you have uneven excess skin with wrinkling probably due to the liposuction. In my opinion, if you have more liposuction the problem will get worse, not better. Examining your skin, you have stretch marks and cellulite. Therefore more liposuction regardless of the cannula size will make this problem worse not better. Therefore, in my opinion, I would revise the abdominoplasty. I would pull the skin tighter. I would use the prior scar to dissect up to the sternum, plicate the rectus abdominis muscle lift, reduce the pubic region, and tighten the loose skin. I hope this helps to answer your question regarding ways to correct the uneven contour of your abdomen after a tummy tuck.

Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Is it possible that the undermining of the superiorly based abdominal flap was not wide enough leading to tension irregularities on the skin? Or this may be due to progressive tension sutures that are sometimes placed in abdominoplasty. A revision to widely undermine the skin should correct this. It may also lead to removing the small vertical scar on the lower midline.

Dear A2B3C4,
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

The contour irregularities on your abdomen may be improved with Morpheus8 treatments. This can stimulate collagen production to improve skin tone and texture. Three treatment sessions are recommended for optimal results.

The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee