You may have a small separation or wound dehiscence. I would recommend you follow up with your plastic surgeon and they should guide you in your post op Care.Best Regards Dr Gartner
I think it's very possible to get to you down to the smaller size and desire. The question of doing it now versus later is always an interesting one and no one can tell you a hundred percent what to do. But I would recommend if you're having a lot of back neck shoulder pain symptoms and...
It looks like you had some loss of tissue in that area which is not so uncommon. You should follow what your plastic surgeon says. I would though recommend ScaRxTape.com for your incisions to minimize them. I recommend that my patients use it for at least a two to three month period.