My tummy tuck scar is almost 6 mos post op. Do I need a revision? (Photo)

And your pictures I see that there is some excess fat, a slight unevenness of the scar with a downward extension towards the sides and small dog years. My recommendation for repair would be to perform a liposuction and scar revision of the two sides of the scar. Liposuction will help improve the contour differential due to the fat and the scar revisions will correct the unevenness and dog ears.

Dear nhaarer,
I understand you are concerned with the appearance of your scars. As your scars heal, it should flatten out and lighten. Loss of pigmentation or hyperpigmentation may also be experienced but will resolve over time. Always follow your surgeon's post operative care instructions when it comes to scar management to avoid any complications like infection and for faster healing and recovery.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Abdominoplasty scars can be quite complex, ranging from the simple hypertrophic scar to a multiplane inflamed keloid. Pigmentation, discoloration, chronic inflammation, scar visibility can all occur in the short term. We begin each treatment with combination therapy using Yellow broadband BBL, Vbeam, fractional erbium, intralesional IIT, and scar modulation. Start with a combination of Plato's Scar Serum massaged twice daily after one week of epithelialization followed by Luminase/Exfolase. Scar consultation and revision may be recommended.

Best,
Dr. Karamanoukian
Realself100 Surgeon

I think your result is acceptable. Your scar is a bit high and has some irregularities. These could be addressed with a revision. I don’t think a body lift would have made much of a difference.

Hello, thank you for the recent photos and question. I would recommend a scar revision to try and lower the abdominal scar, along with removing the dog ears/nubbins on the outer end of the scar. Liposuction would be an added benefit to debulk the abdomen and help give you shape in the waist area. Best of luck!

Hello,To correct the dog ear at the end of the incision, I would first recommend performing liposuction. After 4-5 months from the liposuction, the lower abdominal skin incision can be revised. This way, the incision can be extended minimally while addressing the issue.

I'm sorry you are unhappy with your results. It appears that your scar is placed somewhat high. You can consider a revision potentially to lower it. Liposuction of the hips/flanks and waist can further contour your curves. Further an exam is needed to know for sure but it doesn't appear a lower body lift is necessarily recommended. See a board certified plastic surgeon near you to learn more.

the lateral puckers can easily be trimmed in the office under local anesthesia. Please go back to your surgeon and discuss this.

Based on your nicely posted photos, you have bilateral dog years high place score and continued Lipo dystrophy. Revision is indicated for Scory vision and excision of dog years, attempt to lower the scar, and liposuction with Jay plasma fee $10,000 best virtual consult with.