I had a revision done 4 years ago. The skin where the scar lies is thinner than the surrounding skin.
What is the Best Option to Remove Wide Flat Horizontal Scar?
Doctor Answers 2
Scar revision with a Z-plasty
Based on your photo I would think a scar revision with a Z-plasty would improve the appearance. The scar is transverse at the area of the Marionette lines and placing the vertical part of the Z in that line would help and I believe with a good skin closure the width of the scar would be less.
If you incision was not revised initially, I would state that a revision may or may not be successful to improving the appearance. Since you already had a scar revision, I would doubt a second revision would offer improvement.
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