What will a scar revision surgery realistically look like? I'm not keloidal (Photo)

At least from the photo, the scar appears to be keloidal. If so, then intralesional anti-inflammarory injections are a very reasonable first line therapy to shrink and flatten it. Surgical revision surgery, especially in areas subject to a muscular tension or movement, carry the risk for the development of stretch scars and tram track stitch marks. But, the risk for the the redevelopment of a keloid scar is especially high when removing a keloid scar. Make sure to consult with board certified cosmetic dermatologist scar treatment specialist. Best of luck.