What could cause upper & lower stomach bulge after tummy tuck? (Photos)

It is always difficult to say, but an exam would help identify the issue. It does appear that you may need further muscle plication/tightening. In some patients there is only so much that the muscle can be tightened because in those cases the intra-abdominal content/fat doesnt allow the muscle to be pushed back in any further. I am not sure that is your case, but that does happen in certain patients.
I always advocate that patients undergoing a tummy tuck procedure are at a stable weight and able to maintain that weight. Because another issue is also weight gain after the procedure which can lead to a recurrence of the bulge with deposit of fat behind the muscle.

I would seek out a board certified plastic surgeon to be evaluated and given your options.

Hope that helps.

Dear nsoto9172017,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