How much will the pleats, squishy area, and fat pulled to the middle of my incision flatten out? TT, 3 days post-op. (photo)

Swelling can persist for
several months and will gradually improve and will look better at three months,
six months, and even one year. Frequently the pubic area and the scrotal and
penis area for men can become very swollen and discolored during the first two
weeks due to gravity as this is the lowest area for swelling to accumulate.It may take several
months for a tummy tuck patient’s scars to soften, for sensation to return, and
for relaxing of the tight sensation in the abdomen. In the case of extensive
surgery, abdominoplasty recovery can be uncomfortable and may take longer. Scars
may stay red, become thick or widen . It can take 12-18 months for the scars to
settle.

These can be improved
with topical treatments such as BioCorneum, Scar Guard , Scar Fade and Mederma.
Redness can be improved with laser treatments and the scars can be kept narrow
with products such as Embrace.  On
occasion, keloids or hypertrophic scars can develop and will need treatment
including Kenalog, 5FU and laser.

At 3 days, it really is impossible to tell how things will settle down.  In saying that, a lot of your puckering will indeed improve.  I certainly wouldn't be considering any revisional surgery for at least 6 months.