Secondary, otherwise referred to as "Redo" Abdominoplasties or Tummy Tucks, are very challeging because the normal anatomical planes and landmarks have been distorted by scar tissue from the prior porcedures. In addition, the skin is no longer as distensible as it was before. Being less pliable, it will not stretch as much as would be ideally preferred. Many surgeons will NOT and some quite frankly are not able to do these procedures.
I have performed many of these procedures. While there are technical challenges, my understanding of the anatomy from General Surgery combined with the techniques from my training in Reconstructive and Plastic Surgery enables me to perform these procedures with relative ease compared to other surgeons who have not had such extensive training. The results for these patients are amazing.