Dark spot in scar, what could it be?

It's difficult to say what a dark area along your incision could indicate without an exam or photos. It could be a dried blood, retained areola, or something else. Your surgeon should be able to guide you once the photos are reviewed.

Without an image it is difficult to conjecture with precision as to the cause of the color change. Recurrent bleeding is rare this far out, so the other possibilities are problematic wound healing, or infection. If you have redness and pain, infection is likely. If you can’t see your surgeon, go to urgent care to be evaluated for possible infection.

Thank you Janegrace for posting your question here,I will start by stating that my answer is based on the limited information provided, for a more bespoke plan please consult with your plastic surgeon.
I am sorry to hear that you had to go through multiple drainage procedures, though uncommon , hematomas can occur, I hope you feel better soon.
When it comes to dark spots within the nipple scar it can be a number of things and it is hard to assess without examining you or at least looking at pictures. Just by virtue of their location and assuming that they are small in size , if I had to guess it could be a suture granuloma, or a suture that is yet to be absorbed that is trying to make its way out , that being said , I cannot definitively advise you on the matter without an exam .
I hope this helps, best of luck!

It’s not possible for me to give you meaningful input to your concerns without having at least a visualization with a photo. That said, the reactions of the tissues after a hematoma as well as the potential additional issues with sutures in the incision and how they could be affected by a hematoma that was drained three times, make this an issue which your plastic surgeon needs to evaluate as soon as possible. Best wishes.

You did not post a photo, so I cannot be specific. it might be some hemosiderin which is a product in blood that can leave a dark stain. It might also be a stitch if it is in the scar.

Please consult your surgeon. In general, these are the aspects of a breast lift revision:A breast lift revision, also known as a mastopexy revision, is a surgical procedure that addresses aesthetic and practical issues with the breasts: Reshaping: The breast tissue is reshaped to improve contour and firmness Repositioning: The nipples are repositioned to a more attractive location Scar removal: Excess scar tissue is removed or minimized Implant replacement: Implants can be removed and replaced with new ones, or the size or shape of the implant can be changed Symmetry: The breasts are readjusted to create symmetry Dog ear removal: Excess skin that forms at the end of scars is removed The procedure is similar to the initial breast lift surgery, and typically uses the same incision route. However, depending on the individual, less extensive surgery may be performed. Breast lift revision is a major surgery that requires a period of recovery, including wearing a compression bra and taking time off from work and exercise. It's recommended to wait at least six months before deciding to have a breast lift revision.

I suggest you include some pictures if you want us to make an assessment guide
Darkness in this car can be hyperpigmentation that happens normally in some individuals.
It can also be from the iron in hemoglobin which can become pigmented molecules that can stain tissue.
I suggest you follow up with your plastic surgeon.
Best,
Mats Hagstrom MD