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