Creased/pleated tummy tuck scar. (photo)

I'm a little concerned with the pleated/creased appearance of my incision. My surgeon says that it should flatten or smooth out as it heals but I haven't seen many photos that look like mine. Well it really smooth out our will I have to have some revision done?

Doctor Answers 11

Creases after abdominoplasty

Early concerns after abdominoplasty are certainly warranted and common. Based off of your picture it seems that you are very early postoperative. The skin "creases" at the edge of the incision are likely a result of the pull of the flap at the time of closure. These typically resolve over a period of weeks to months. 

Little Rock Plastic Surgeon
4.4 out of 5 stars 31 reviews

Creasing or Pleating at End of Tummy Tuck Incision

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.

John LoMonaco, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 270 reviews

It will get better

This will improve over the next few weeks. You'll be amazed at how much better, smoother and less swollen you'll look once this heals. The upper incision is longer than the lower incision, which means your surgeon had to close limbs of unequal length. The pleats represent that length discrepancy, and are always temporary. You'll have a great result. Hang in there, try to be patient. 

Jennifer Weintraub, MD
Palo Alto Plastic Surgeon
5.0 out of 5 stars 12 reviews

Tummy tuck scar

Short answer-yes, it should smooth out.  From a technical standpoint pleating is often necessary when a patient has a lot of excess skin, it allows you to keep the scar shorter.  All patients are different preop so try not to compare your results, especially this early on.  Best of luck. Jane

Jane M. Rowley, MD
Lubbock Plastic Surgeon
5.0 out of 5 stars 38 reviews

Let it mature first

You will likely want some revision, but it will be smaller in scale and look better if you wait for the scar to mature least 6 months.
Best Regards,
John Di Saia MD

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 27 reviews

Creased/pleated tummy tuck scar

It looks like you have just recently had surgery. It can take 3-4 months for things to smooth out. This is way too early to be concerned.

Michael Hueneke, MD
Nashville Plastic Surgeon
4.9 out of 5 stars 63 reviews

Creased TT scar

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 

Robert Heck, MD, FACS
Columbus Plastic Surgeon
4.9 out of 5 stars 65 reviews

And irregular tummy tuck scar

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.

Ira H. Rex lll, MD
Fall River Plastic Surgeon
4.6 out of 5 stars 46 reviews

Pleating following tummy tuck

Pleats and creases after a tummy tuck are not uncommon and can occur for a variety of reasons.  They become more common as the amount of skin removal increases.  They are also more frequent in patients with residual stretch marks.  Regardless they will usually settle out with time.  I frequently have patients wait about 3 months before discussing revision and by that time, revision is rarely needed.  Based on your photo, you still appear to have a significant amount of swelling which means your surgery was fairly recent.  If this is true, I would certainly give it time to improve on its own.  Thanks for the question and good luck.

Paul B. Mills, MD
Saint Louis Plastic Surgeon
5.0 out of 5 stars 14 reviews

Creased/pleated tummy tuck scar.

This is a common appearance of an early incision. As your body adjusts and heals, the wrinkling/pleating effect will even out. You should see improvement weekly over the next several weeks.

David Dellinger, DO, FACOS
Austin Plastic Surgeon
5.0 out of 5 stars 21 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.