Pleating after Tummy tuck and lipo 360, 12 days post op, is this permanent? (photos)

Hello and thank you for posting photos along with your question! This pleating can be completely normal. Plastic surgery takes time. Patience is key. It can take 6 months for a lot of these little irregularities to smooth out. You should speak with your plastic surgeon to see what their recs are. They may suggest scar massage when they feel as though your incision is ready for it. Also, if your plastic surgeon recommended the foam that's fine but make sure this is not something you are just doing on your own. If my patients want to do anything that I have not suggested then I request that they speak to me about it first. Congrats on your tummy tuck and wish you the best during your recovery!

Thank you for your question.
The pleating will improve significantly over time. It takes several months before you get your desired results. Massaging will help. Silicone Gel Strips can also help. All The Best !

This is not unusual after an abdominoplasty and can take a number of months to settle. Best to keep in touch with your PS who can advise regarding scar management esp massage which will help.

It is not at all uncommon to have pleading of your incision at this stage of the game. These will often take 3 to 6 months to settle out completely, but they usually turn out fine. There is no special regimen that you need to follow to make this happen. Continue wear of your compression garment as directed by your surgeon and discuss the issue with your him or her at your next visit.

Good morning. Thank you for your question and for providing good photos. 12 days postop is too early to make a judgement regarding how tissues will remodel over time. I think you'll be very surprised how different the incision looks in 3-4 months. Having said that, there is significant gathering here. I would start tissue massage along the scar and compression as you are doing. Certainly you have returned to your surgeon by this time and need to follow his or her recommendations. In my patients, I have a very low threshold for revisions if tissue are not perfectly aligned but do not offer any local scar revisions until at least 3 or 4 months postop, depending on the situation. It might be the case that most of the pleating resolves and a small local scar revision could address any residual anomalies. Good luck!

First of all, congratulations on your tummy tuck and lipo 360, tearsofhappiness!
It’s barely been two weeks since your operation, so you’re still experiencing a lot of swelling at this point and that can be contributing to pleating.
Wait for about three months when the swelling starts to subside. In the meantime, a lympathic or tissue massage can help decrease swelling, but it’s best to ask your reputable and board-certified plastic surgeon about it so that he can teach you how to do it the right way.
Best of luck!