Would a revision fix this and give me a smooth outline? (Photo)

Dear Goldenat,   Thanks for posting your picture and sorry for your unfortunate outcome. From observing your picture , it is obvious that you had complication after your tummy tuck surgery that resulted in skin loss , long healing and deformity of the skin flap.    To improve on your condition , you will have to redo the tummy tuck, in order to re drape the skin flap in a more symmetrical and even  fashion.   From the apparent  skin diffuse irregularities , it appears that you had liposuction surgery either before the tummy tuck surgery or during the tummy tuck surgery. These irregularities can be corrected later on with aggressive liposuction.   Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of redo tummy tuck in the photo gallery, to make sure that they are numerous, consistent and attractive with flat stomach, nice belly button, narrower waists, improved body posture and low scar.                  Best of luck,                                  Dr Widder   

Hello.
Great question. I am sorry for your post op difficulties. Thank you for your picture. Based on your image, it appears you may benefit from a full tummy tuck procedure. Please visit a board certified plastic surgeon for a detailed surgical plan to achieve your desired results.

Dear Goldenat57,
it is hard to tell for sure without an examination. Based on your photo, it looks like you would benefit from scar revision. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery