Some people who are interested or who are planning to undergo surgical procedures do their best effort to determine the best surgery for them and who will be the best surgeon to perform it. The tendency is for them to browse on the internet and look for pictures that will serve as proof that the surgeon is a good one or not. It is unavoidable if someone notices the bulginess that appears in the upper abdomen after a tummy tuck has been performed. Little do they know that the bulginess is a common result of several causes. First, there can be a significant amount of fat in the upper abdomen after surgery. Surgeons tend to be conservative in performing liposuction on the upper abdomen, as taking away too much fat can cause significant problems with skin loss on the lower abdomen. Based on the patient’s anatomy, the location of the blood vessels is important in determining the degree of aggressiveness during liposuction. When dissecting, the surgeon must be careful with the blood vessels in order to protect the blood supply to the abdomen. It is a mistake to cauterize all the blood vessels that are going to the skin. You may not know about it but visceral fat is also a factor. Visceral fat accumulates around internal organs, which includes the liver, stomach, and bowels. If the patient has a significant amount of visceral fat, there will be more resistance when it comes to tightening the muscle. Since most of the internal organs are located in the mid to upper abdomen, in addition, the abdominal muscle attached to the chest wall; provides resistance when it is performed. Surgeons must be careful in tightening the muscles in the upper abdomen. This is because it can cause significant changes in the patient’s respiration after surgery, creating metabolic changes due to a change in lung capacity.