I had a revision done 4 years ago. The skin where the scar lies is thinner than the surrounding skin.
What is the Best Option to Remove Wide Flat Horizontal Scar?
Doctor Answers (2)
Scar revision with a Z-plasty
Based on your photo I would think a scar revision with a Z-plasty would improve the appearance. The scar is transverse at the area of the Marionette lines and placing the vertical part of the Z in that line would help and I believe with a good skin closure the width of the scar would be less.
If you incision was not revised initially, I would state that a revision may or may not be successful to improving the appearance. Since you already had a scar revision, I would doubt a second revision would offer improvement.