Do I need a revision on my tummy tuck scar? More lipo? (photo)

Conservative treatment for a year is the best advice, because the scar will become less pigmented.  Then you can evaluate whether a scar revision or resurfacing would be helpful.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

this needs a scar revision and Vaser + renuvion to get the best results.  scars are inevitable though with any cutting surgery.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Your scar may need a total of a year to a year and a half before maturing, I suggest you wait on that. Talk to your surgeon about possible touch up liposuction on your abdomen. Good luck.

BabyZadwI appreciate your concern, and it does appear that you have residual, well localized fat of the lower central abdomen just above your scar. Also, it takes a solid 12 months for complete scar maturation, so this aspect may improve over the next five months. Your options include waiting another five months, and if no improvement of your lower abdomen or scar is realized, undergo touchup liposuction and scar revision at the same time. The other option is to go ahead with the touch up liposuction under local anesthesia now and address the scar later, if needed. Discuss these options with your board-certified plastic surgeon. Good luck.

thanks for your question, according to picture you look goo after tummy tuck, I don’t think May need scar revision but more lipo in abdomen area to take out the fat from that area. Usually with tummy tuck don’t get abdomen lipo to avoid a necrosis. Scar need to mature more is normal color change can use rose mosqueta oil to hydrate the scar. For a second round is necessary to wait 6 month or year Thanks again Jorge