Creased/pleated tummy tuck scar. (photo)

You had more skin on the top half of the incision than you did at the bottom, so your surgeon wisely did what we call an "advance."  This means pulling the skin inwards, which gets rid of "dog ears" at the end of the incision and changes them into smaller creases.  These almost always go away by 3 months, and a simple office procedure could be done if they don't look acceptable to you by 6 months or so.

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

This pleating can be normal following surgery and over the postoperative period (up to 6 months) it should slowly improve. If it does not, I would revisit with your surgeon and perhaps a revision can be done but it's best to give it time to heal first. Best of Luck 

Is hard to answer your question without knowing how old that scar is. Our body has a great capacity to smooth these things out and improve scars over time. Somewhere between six months and a year your doctor could probably reassess the scar and decide if there is any reasonable intervention.

Thanks for your inquiry, and yes the pleating you see can decrease with time.  Please keep discussing your concerns with your plastic surgeon.