What caused pockets of skin on love handles? Should I get a revision? (photos)

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

From your photos it appears you would benefit from further skin excision and liposuction of the hips and flanks. This should help improve the overall contour. See a board certified plastic surgeon to discuss your options.

Unfortunately, we occasionally see similar delayed result of poor skin laxity after extended TT in patient who had significant weight loss; their skin is stretched and elasticity is minimal. Although result may look good immediately after surgery, it does not last for a long time in particular if there is a lot of residual fat deposits. Performing aggressive liposuction before TT may be good way to avoid this. In your case, both liposuction and revision of TT (including vertical skin removal ??) may be needed. Good luck.