Are Wrinkles and Lumps Normal After Lipo?

Preoperatively, if there is inelastic skin noticed, than the patient is told that a skin resection abdominoplasty may be needed. Possibly, however, the roll over the belly button may be fat that was not aspirated sufficiently and when the fat below and the sides of the umbilicus is removed, the fat above can push around and hang over. You should see your surgeon to have them evaluate what you need. If there is excess fat then liposuction can be done in a very small or localized way and Thermage external radiofrequency treatment may improve the wrinkled skin. You should see a board-certified plastic surgeon, if you haven't already, to determine if an abdominoplasty is in order.

From your descrition it sounds like a tummy tuck should have been considered. It is so tempting to choose the quick and easy liposuction option over the more invasive tummy tuck procedure, but they aren't interchangeable. I don't know what version of lipo you had, but I am starting to see a lot of patients in your situation, most of whom were offered a laser lipo procedure with promises that it would tighten the skin and avoid the need for a tummy tuck. Sorry you are in that situation but more lipo seems unlikely to help.

Yes, you may need a tummy tuck. Liposuction only removes excess fat. It does little to eliminate redundant skin. At 6 months the vast majority of the skin tightening and scar tissue should be stable ( not truly complete until 2 years).