Keloid or hypertrophic scar post tummy tuck? (Photo)

Surgery causes scars and everyone heals differently. If you had uncomplicated healing the first time, it is not likely that cutting the skin there again will have a different result. There are other modalities to try to address poor scars. Some do involve revising the scar but adding other compounds to the scar treatment at that time and subsequently. Even radiation therapy is sometimes used. All have their advantages and disadvantages and NONE of them can guarantee improvement. Many patients ultimately choose tattooing some design in this situation.

Hello!
This appears to be a hypertrophic scar.  The difference revolves around the extent of scarring outside of the original incision.  In this case the vertical component of your abdominoplasty scar appears to have widened but remains along the original incision.  Steroid treatment is certainly a good starting place but if this has been attempted and the result is not satisfactory to you then surgical revision may be your next step.