Will I need a tummy tuck revision or scar revision for this incision? (Photos)

From your photos it appears that scar revision should be adequate. It is advisable to wait to have revision from 1at least 2 months since the incision closed. Talk to your surgeon about other scar remedies you can use at this time. The scar may be more acceptable to you by the time it matures. If not, you can consider revision then.

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

Dear jdroberti,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

As you know the shape color and texture of a scar matures over a year. At that time you can discuss with your surgeon if improvement can be done. Gentle pressure with support under ware will help improve the scars.

Complications can happen after this procedure including dehiscence and tissue necrosis.
Skin incisions can take 12 to 18 months until scar tissue is mature. I recommend going slow and waiting until the scar tissue has matured. This should be a minimum of 12 months from when they wound was healed but preferably 18 months from that time.
If it took three months to heal after surgery then you should wait 12 to 18 months from the time you were healed before considering revision surgery.
Moving your incision adds a large degree of complexity to the procedure and it’s probably not in your best interest.
Your groin area has very little tissue to contribute to raising the incision to a higher point. generally speaking incisions for a full tummy tuck should be placed low.
Lowering the incision will require repositioning of the belly button. doing bad adds an unnecessary vertical scar from the old belly button incision.
I suggest for now you focus on getting back to normal life and give yourself plenty of time to heal before considering a second procedure.
Slowing down the process is generally better than trying to move it along.
Scar tissue takes a long time to mature and it’s important to know what the final outcome is with mature scar tissue before making an assessment.
Best,
Mats Hagstrom MD