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 

Based on your pictures, that scar can absolutely be revised and VASER liposuction utilized to flatten and contour the abdomen. You may also benefit from diastasis repair with a mini-tummy tuck. This would help you obtain a more aesthetic result.The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or Facetime consultation with a VASER specialist will help you get an accurate recommendation and pricing.
Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Scars typically improve for 12 to 18 months after surgery. Some people simply don't form great scars. In deciding to do a scar revision the question of why would a scar healed better the second time around should be answered before justifying a scar revision.
 For those who don't heal well doing a scar revision can sometimes lead to the same scar but with a new need to wait 12 to 15 months for the scars to mature.
 You may want to confirm that you don't have a seroma in your lower abdomen. If your drains were taken out too soon you could've developed a seroma(fluid collection).
 I suggest talking to your plastic surgeon about your concerns to see if the revision is indicated. 
Best, 
Mats Hagstrom M.D. 

Hello,

Thank you for sharing the information, it is a pleasure for me to answer your question.

Definitely the most appropriate is to start (tummy tuck, liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body.
It is advisable to consult with a certified plastic surgeon, for a good evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.
I hope this answer will help you

My best wishes for you...

I have had wonderful results fine tuning after a TT using Smartlipo. you can return to work the very next day. it does take time to see the improvement after Smaretlipo so be patient. see video below.David Berman md