Blotchy discoloration around incision areas 6 months post-op, is anything I'm doing interfering with healing? (Photos)

About Me: Underwent breast lift with implants in early May 2023 Had issues with blisters/ open wounds post op but fine for the most part now Appear to be experiencing blotchiness/ discoloration/ redness/ rash around incision areas, despite using scar gel as directed 29 years old, healthy Have hashimotos but in remission On .5 ozempic Taking accutane Balanced, nutritious diet and active Is anything I’m doing interfering with my healing? Is this an internal issue or external irritation?