Tummy Tuck scar too high, will a revision to lower it be possible for me in the future? (Photos)

Thank you for your pictures.  It appears that the design and location of the final incision was executed incorrectly.  Lowering your incision would require you to have excess skin which you do not have.  This skin can be gain by a two stage procedure. First placement of tissue expanders beneath the skin above the scar.  Stretching the skin over several months. The next procedure would be to remove the expanders and re do the tummy tick with a the final closure at a lower level.Dr. ES

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

The distance from the vulvar commissure to the scar can be decreased by several centimeters, but the distance from the umbilicus (belly button) to the scar can not be reasonably increased.In order to achieve this, a full year at least needs to elapse between surgeries. This will allow your skin to stretch. I do not think that your ideal will be possible, but there is a way to improve the location of the scar. While it is high, it is not "freakish" as you describe. You will need to be creative with underwear and bathing suits, but the pattern of scar that you have is very common following breast reconstruction with abdominal tissue.

 I am sorry to hear about your concerns after tummy tuck surgery. Unfortunately, only time will tell whether there will be enough tissue laxity above and below the scar line to allow for revisionary surgery to lower the scar significantly. This time frame may be somewhere between 1 to 2 years. 
Sometimes, especially for patients with a relatively short torso and/or minimal redundant abdominal wall skin, a short vertical scar is necessary ( in addition to the usual transverse tummy tuck scar). This vertical scar results from closure of the previous umbilical opening and prevents excessive tension upon closer in the midline of the tummy tuck incision line. If this vertical incision is not used, patients may end up with high scars, wound healing problems and/or wider scars.
Best wishes.

Thank you for your post. It is not common for surgeons to anchor the lower incision to the fascia or covering of the abdominal muscles to keep the scar low, however, I do use this technique and agree with it. All the tension on the incision is from above, not below, and thus the scar tends to move toward the area of maximal tension (towards the ribs/bellybutton). This moves the scar higher than desired. I like to keep my scars very low, and feel that anchoring the scar helps accomplish this. The following photo is an example of this.