With due respect to Mr. Ross, this is not "normal" and does not look fine. This does not appear to simply be scabbing, but patchy discoloration of the skin itself adjacent to the actual incision edges centrally above the pubis. Purple/black in this pattern is a clear sign of localized ischemia (poor circulation) near the margin of your skin incision. Note this is near the center of the incision (where circulation is most impaired) and not at the ends, where the microcirculation is better. If you are a smoker, or even exposed to second-hand smoke, nicotine can cause damaging vasoconstriction and must be stopped immediately. But even without nicotine exposure of any kind, inadequate circulation leading to dead skin or fat necrosis can still occur in a small percentage of patients. What is dead cannot be revived, but what is marginal can (sometimes) be improved by a number of means. You need to know that although this is not "normal," neither does it signify that anything was done wrong or inadequately. You should see your surgeon immediately and let him/her know of this appearance and receive an examination and advice. In some cases this will go on to heal adequately, though with some increased scarring. In other cases this can lead to wound breakdown, so this is nothing to be ignored without at least careful observation and follow-up. I would also consider nitro paste (a vasodilator), though this is controversial. But if it can help, why not? Again, avoid all nicotine. Best wishes! Dr. Tholen