In my experience it is not normal for a patient's abdomen around the belly button to stick out or protrude like they are pregnant 10 weeks after surgery.  There are several  possibilities.  A hematoma (blood collection) or seroma (fluid collection), umbilical hernia, or a protuberant abdomen from intra abdominal fat all come to mind.  Your surgeon should evaluate you and make a definite diagnosis as to the cause of your problem.  

Tummy Tuck

Unfortunately you are suffering from some significant bad problems as a result of your surgery. It is difficult to be specific about what is the cause of your problems without reviewing your operation report and examining you. Whatever is causing your problems needs to be addressed and addressed quickly. It sounds like you are suffering from an ectropion, pulling down of your lower lids, from either an over resection of the skin or a scarring problem. Regardless, you need to see a qualified Board Certified Plastic Surgeon with experience that can diagnosis your problem and treat it. The good news is that with a qualified surgeon you should be able to have your problem corrected. Unfortunately it will almost assuredly require additional surgery.

C.W. Lentz, MD

Eyelid Surgery

Coronal Brow lifting is one of the most effective ways to dramatically improve the aging face when it is indicated. While most plastic surgeons switched to a endoscopic brow lift, I have continued to believe that coronal is the best way to obtain the best results that are not only the most natural but also the most permanent. With this technique I make an incision in the scalp from just above the ear all the way across the top of the head. Depending on the level of the hair line, I make the incision either in just at the hair line or behind it. If the hair line is low, then it is best to put the incision behind the hair line and then the hair growth covers any scar. If the hair line is high, then I usually put the incision behind the hair line in the temporal area (the area on the side of the head just above the ear) and then at the hair line across the middle. This allows the hair line to be improved in both cases. When the incision is at the hair line I cut the scalp obliquely, so when the incision is put back together the hair will grow in front of the incision and through the incision thereby hiding the scar.

I believe that this gives me the best opportunity to remove the muscles which cause the heavy creases at the top of the nose and between the eye brows. This will completely and permanently get rid of the deep wrinkles in these areas. The lateral brow is lifted by suturing the deep fascia in the temporal area. The wrinkles across the forehead will also go away since the brow is no longer being pulled down by these muscles and the fore head muscles will relax.

The level of my dissection is above the periosteum and below the galea which is the thick fibrous layer in the scalp.

While the endoscopic brow lift was a big favorite for a long time, its popularity is waning. I never found that the same excellent and more permanent results could be obtained with the endoscopic brow lift compared to the coronal brow lift. The incisions with a endoscopic brow lift are just as long in total, it is just that they are separated and longitudinal.

C.W. Lentz, MD

Facelift

If you presently are 175 pounds and your BMI would be better for your height if you were 145 pounds and you feel that you can safely accomplish this weight loss with modification of your diet and not starvation dieting, then it would be good to loose the excess weight before surgery. This change will decrease the risks of surgery such as wound infection, pneumonia, clots in your leg and pelvic veins which can lead to pulmonary embolism and even death. The quality of the end result will certainly be better and the long term ressults will be more permanent. It is quite often foe a woman to have breast reduction when she is a little heavier than desired and then she goes on to loose additional weight in th breast which the compromises a other wise good to great result.

There are many other  issues a woman should consider along with weight loss before having a breast reduction. These include how big or small she wants to be, what incisions are best for her, which technique of surgery will give her the best results. And then there is the choice of the surgeon who should be some she likes, who is a Board Certified Plastic Surgeon with extensive experience with breast reduction surgery. The surgeon should be able to show you many different types of patients who had under gone different types of breast reductions with good to excellent results. 

Breast Reduction

There is no real reason for you be denied the opportunity to have breast implants if you have had a breast reduction  which has made you smaller than you desired and has not given you the shape of your breast that you were looking for. While it has not been common, I have augmented numerous women's breast for this exact reason with good results. I would encourage you to seek a second opinion from a board certified plastic surgeon and discus your concerns. 

Breast Augmentation