What could be done to fix my crooked scar, dog ears, bulge above vagina after tummy tuck? (photos)

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

Thank you for your pictures.  I am sorry you are dealing with this.  Your situation can be corrected but it must be corrected in stages. 
The scar on the left side of your abdomen needs to be lowered. This can accomplished by placing a tissue expander beneath the skin but above the scar so that the skin can be stretched.  This would increase the amount of skin above the scar so that scar can be lowered.   
The overall quality of the entire scar can be improved with removal, silicone sheeting and topicals to reduce the pigmentation.  
You mons/vagina is a bit more tricky because most of the normal skin of mons has been removed. This makes will not further skin removal an option.  If the fullness in this area is due to fat then liposuction can be helpful. 
Seek multiple consultations. 
Best wishes  

Dear Chanellover,I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for second opinion. Only after thorough examination you can get proper recommendations and advice.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello,You could benefit from a scar revision, which would include addressing the dog ears, the widened, discolored, and irregular scar, and the midline bulge. In addition, a subtle revision to the umbilicus would leave a more natural appearance. Going forward after this revision, an elastic and porous tape should be worn for the first 3 months to aid in scar maturation, minimizing it's appearance substantially. If your doctor can't offer that, go visit a few ABPS certified/ASAPS member surgeons who can. Best of luck!

Hello and thanks for your questions and photos.  Unfortunately you will need another revision to correct the issues that you are having.  The area at your pubis can be revised with liposuction and potentially a bit more skin excision to correct the bulge.  Your dog-ears can be excised to flatten them.  All your scars can potentially be treated with CO2/IPL to fade them and make them more flat, smooth and less noticeable.  All the issue that you have can certainly be improved upon.  If you are not satisfied with the answers that you are getting from your current surgeon, I would encourage you to schedule a few consults with other board certified plastic surgeons in your area.  Best wishes!Daniel Brown, MD, FACSBoard Certified, American Board of Plastic SurgeryMember, American Society of Aesthetic Plastic SurgeonsMember American Society of  Plastic SurgeonsCastle Connolly Top DocReal Self Top 500

Your photo of your tummy before your secondary procedure looked pretty good... but it does not replace an exam.  Still of your goals, what has been met?  The vertical scar was completely predictable and you should have been aware of that.  Dog ears are common and can easily be revised later in the office under local.  As for the poofiness around your mons, depending on how the procedure was done, may be a result of the technique used.  Revisions can still improve your outcome but you should be clear with what your goals are and your surgeon should be honest in telling you what you can expect and what he/she can deliver.  I hope most of your goals have been achieved so that revisions can be done to eliminate the dog ears, open up the belly button, and revise the vertical scar if it does not heal to your satisfaction.  The mons could always be suctioned but if skin laxity is a problem, skin excisions will be needed.  So I disagree with your BH surgeon... revisions can help but it will take time and you must be patient.

What you may consider to improve all of your concerns include:1)umbilical revision to widen it so it is not a slit2)incision revision with excising some more of the skin over the central lower area that is discolored and does not appear to have good texture3)VASER liposuction of the entire abdomen to give you highlights and definition.