Why are some tummy tuck scars crooked? (photos)

In general:-Tummy tuck scars shift slightly upwards or downwards, depending on the skin tension at the time of incision closure.  If there is more tension in the center of the tummy tuck, it will pull the central part upwards, for example, making the commonly seen "W" pattern.  Personally, I feel that's a planning error. -"Dog ears" occur if you have a lot of laxity at the sides, but don't have an incision long enough to remove them.  Surgeons should remove these, as much as possible, when present.-Skin necrosis is usually an uncommon issue, but more likely if you are a smoker or recent ex-smoker, or have other circulatory issues.Many of these issues are solved by good surgical planning, careful assessment and surgical marking, and being technically accurate in the skin resection.  Review lots of before and after photos, and find a surgeon who has a high percentage of results that you like.  Most surgeons operate in a consistent manner, so this will help you find one with a tummy tuck technique that is likely to give you a result you like.You look like a good candidate for a tummy tuck - good luck in your search.All the best,

I think that one problem is that people post short term results and scars immediately postop. It takes a full year for the scars to heal to their final result. You should be able to achieve fine line scarring. Let me add that stapling, rather than suturing the skin, will not produce as good a result. That extra time in the OR can really pay dividends in terms of achieving a quality scar. In terms of necrosis, smoking and other factors can predispose to this so it is important to be in good health.  Finally, the risk of dogear scarring can be reduced in the hands of an experienced surgeon but these require minor work in the office under local anesthesia to repair. When in doubt, dogears are better than wounds that were too tight and will open up postop.  Make sure that you see a board certified plastic surgeon for a consultation!