T scar indention and length - could this scar be revised further? (Photos)

Thank you for sharing your photos and your experience. I can imagine how frustrating it must feel to love your tummy tuck results overall, yet still be bothered by the appearance and depth of the T-scar. This is actually a fairly common concern when there wasn’t enough skin to remove during the original surgery, and there are ways to improve both the indentation and the texture.

Based on what you’ve described, here are the most helpful options:

1. Scar Revision Surgery

If the indentation is significant or the scar is stretched or tethered, a revision can help:

The surgeon can excise the scar and re-close it with improved tension and contour.

This can shorten or refine the appearance of the T, depending on how the tissues behave.

It works best once the scar has fully matured, which yours has at this stage.

This option is ideal if the indentation is caused by deeper tissue anchoring or tension lines.

2. Additional Fat Grafting

Fat grafting can still be effective if there is continued volume loss or contour irregularity.

Sometimes multiple rounds are needed, especially in areas with scar tissue where retention can be lower.

It creates a more natural, soft fill and can help blend the T-junction better.

If your first fat graft didn’t hold well, modifying the technique or layering the fat differently can make a difference.

3. Filler (Off-label Use)

For patients who prefer something less invasive, hyaluronic acid filler or a biostimulatory filler can be used to:

Lift the indentation

Smooth the contour

Reduce shadowing

It won’t replace surgery, but it can give noticeable improvement with minimal downtime.

4. Microneedling or Laser for Texture

If the main issue is also surface irregularity:

Fractionated lasers

RF microneedling
can help soften the scar and blend it into the surrounding skin.

These work best once the contour has been corrected with grafting or filler.

My overall recommendation
If the indentation is deep or tethered, scar revision often offers the most definitive improvement. If the indentation is mainly due to volume loss, additional fat grafting or filler can create a smoother, more even appearance. Many patients end up doing a combination—revision to release the tethering plus a small amount of volume correction.

Based on nicely posted photos, the results are acceptable though I would first attempt either SCULPRA injection and a series of up to three injections one vile per injection at a fee of $1200 per session to help increase the subcutaneous and subdermal tissue or try the new FDA approved fact raft injections ALLOCLAE one syringe fee $3500. After the healing event then possible vertical scar revision. Best virtual console with her better understanding.