Is this going to heal right after tummy tuck and scar revision? (Photo)

With the Fleur de lis tummy tuck (an extra incision going up and down) there is a higher chance of this type of ischemia (decreased blood supply) to the midpoint. This will need to be treated conservatively. It will likely take a few months. The scar in the end will be a bit wide at that area. A scar revision may help much later in this process. 

Hello Pepper. I'm sorry this is happening to you. You have skin and fatty necrosis and appear to be progressing to an open wound that will require lots of wound care to heal from the inside out. Wounds like this are common, especially on patients with previous surgery scars on the abdomen which is the case here with you. Yes, most surgeons have seen this type of wound. If you're smoking, this is a huge risk factor and will slow your healing so you better stop!You need to see your PS as often as you wish. If the wounds are not looking good or you are concerned about the progress, then go an see your surgeon sooner. There's a good chance you could need revision surgery, but this mostly depend on the progress of the wound and the care provided. Best wishes, Dr. ALDO