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

Question

I am a female, 46. Weightloss of 70 lbs. I had regained 25 back right before my surgery due to having to be off the tirzepitide shot before surgery. At the time of these photos, I'm 170 pounds. 2 previous c-sections. The procedure I had was a tummy tuck, liposuction ( contouring) and a hernia was fixed in the upper abdomen. I am unhappy with the placement of my scar and how it tapers down and puckers. Should I have had a lower body lift?

Daniel Careaga, MD · Answer

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.

Daniel Barrett, MD · Answer

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

Camille Cash, MD · Answer

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.

Raffy Karamanoukian, MD, FACS · Answer

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

Ronald J. Edelson, MD · Answer

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.

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

Answers (9)

Answer: A revision can be done to smooth out abdomen area and improve appearance of the scar.

Answer: A revision can be done to smooth out abdomen area and improve appearance of the scar.

Answer: Tummy tuck

Answer: Tummy tuck

Recommended reading

Everything you need to know about Tummy Tuck Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

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

Answers (9)

Answer: A revision can be done to smooth out abdomen area and improve appearance of the scar.

Answer: A revision can be done to smooth out abdomen area and improve appearance of the scar.

Answer: Tummy tuck

Answer: Tummy tuck

Browse related questions

Recommended reading

Everything you need to know about Tummy Tuck Revision

Our mission is to create a world where every investment in modern beauty is Worth It.