Excess skin and hypertrophic scar after tummy tuck. Should I consider a revision? (photos)

From your photos it does appear you have a hypertrophic scar. You can use silicone strips, lasers, or potentially steroid injections to help flatten and lighten it. After about a year you could consider scar revision. Your abdominal contours need to be discussed with your surgeon. The shape could be related to excess visceral fat or potentially failed muscle plication. Regardless all patients will have some redundant skin when bending forward to allow for normal movement and flexibility.

Abdominoplasty scars can be quite complex, ranging from the simple hypertrophic scar to a multiplane inflamed keloid. Pigmentation, discoloration, chronic inflammation, scar visibility can all occur in the short term. We begin each treatment with combination therapy using Yellow broadband BBL, Vbeam, fractional erbium, intralesional IIT, and scar modulation. Start with a combination of Plato's Scar Serum massaged twice daily after one week of epithelialization followed by Luminase/Exfolase. Scar consultation and revision may be recommended.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hello. Thank you for your inquiry regarding a hypertrophic or thick tummy tuck score. Thank you also for asking about achieving a flat abdomen. There are multiple modalities which can be used to improve your tummy tuck scar. Minimally invasive techniques include micro needling, skin bleaching creams, injection of steroids or 5FU, and even surgical camouflage tattooing. Interventional techniques include surgical scar revision under local anesthesia. I believe since you are six months from your tummy tuck, that you can undergo any of those treatment modalities.
In regards to getting a tighter abdomen, I would suggest you look carefully at your profile picture. Your abdomen is very flat. I don’t think it can get much tighter. If it could be made tighter, you would not be able to stand up straight. When people flex ti sit, there is always laxity on the abdomen. This allows us to stand up and sit down.
I hope my answers help you to understand the potential treatment modalities of your tummy tuck scar. In addition, I hope you understand achieving tightness of your abdomen.