Lump above belly button, bumpy, scar uneven - do I need revision? (Photos)

Hello CarolineCaz in Great Britain. Thank you for your question regarding your concerns post-tummy tuck, and I appreciate the pictures and history you’ve shared.

Overall, I believe you have an excellent result from your tummy tuck. The excess skin and fat have been removed, and your abdomen appears almost flat. The small lump above your belly button is likely due to scar tissue around the permanent sutures used during your hernia repair. This is a common occurrence and does not typically require revision unless it becomes painful or grows significantly.

Regarding the unevenness of your scar line, correcting scar asymmetry surgically can be very challenging. Instead, I recommend treatments like FRAXEL laser, which can help reduce the appearance of scarring and create a smoother look. With time, scars generally improve in appearance, especially with proper aftercare.

If the lumps or bumps on your abdomen bother you, you might consider VASER liposuction to refine the contour. However, keep in mind that the level of flatness achievable by a tummy tuck has limitations, particularly when addressing underlying issues like hernias or muscle repair.

It’s also important to set realistic expectations for what revision surgery or non-surgical treatments can achieve. If you remain dissatisfied, you may benefit from seeking a second opinion from another board-certified plastic surgeon to assess your specific concerns in detail.

Good luck, and I hope this information has helped answer your questions regarding your tummy tuck results.

Sincerely,
Dr. Katzen

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

its difficullt to see what you are asking about from the photos you have sent and also comparing to pre surg photos. you appear to have a smooth convex curve and for some people this is the natural outcome from tt surgery whilst others can get more of a washboard appearance. it porbably relates to the natural tone and shape of muscles. it is impossible to routinely achieve a washboard tummy and the principle goal of tt is to get rid of overhang and this this has been achieved.