Are there treatments for scar discoloration 12 months post-op or do I need a revision? (photo)

Dear Eclectic: This far post surgery, the incision looks to be as good as it is going to get non surgically. Neither dermabrasion, microdermabrasion, Cool sculpting nor Morpheus is likely to be beneficial. A surgical revision offers the best chance for a better outcome because, unlike the first operation in which the skin was closed tightly under tension, with the revision, there is much less tension on the skin edges which means that the tendency to stretch (wide scar) is lessened. You should expect a thinner scar. Unfortunately, there is no guarantee that it will look better even after a surgical revision because it is possible that you heal that way regardless of the technique or surgeon chosen. If you are opposed to surgical revision, and are otherwise happy with the contour, you might consider a professional tattoo. And for best results you should be free of all tobacco products.

Dear Virginian,
Thanks for posting your pictures and sorry for your sub optimal scar outcome. After one year from your surgery the scars achieved maturity and it will not improve further. To improve on your scars you have 2 options : 1. Tattoo light colored spots with skin tone pigmentation. Make sure to check before and after pictures of scars tattooing by the tattoo artist to make sure of good match of the pigmentation.
2. Scars revision with intra dermal continuous repair with self absorbing sutures.
All the best,
Dr Widder
widderplasticsurgery.com