Extreme puckering of incision. Will this flatten?

You are very early in your recovery, it is most likely your incision will flatten out in time, which may be 6 months or more. Tell your surgeon of your concerns, but allow time for healing. Good luck.

I know it's hard to be patient but you are very early in your recovery and can expect changes ahead. Skin puckering will typically flatten out as healing progresses and swelling resolves. This may take a few months. Be sure to discuss your concerns with your surgeon at your appointment.

Thank you for your question and photo.  You are very early in your postoperative period and "bunching" up along the incision is common especially when the edges of the wound are not the same size.  "Bunching" the skin is often necessary to avoid a dog ear at the lateral most point of your incision scar.  Over time the scars typically flatten out, the healing process can take 6 months to a year.It is important to follow-up with your plastic surgeon at regular intervals and adhere to the post-op instructions.I hope this helps, make sure you are evaluated by a board certified plastic surgeon for an evaluation and for recommendations.