5 weeks post op, I have an asymmetric Tummy Tuck scar. Any suggestions? (photos)

Question

I am 5 weeks post op and while I am pleased overall with my TT results and was pre warned by my ps that there could be some asymmetry, however I'm not happy about just how asymmetric my scar is around the middle of my tummy. Am I being too picky about this and is there any options to get this fixed ?

Jonathan Saunders, MD · Answer

I think you will probably need a revision.  might need to wait 6 months to a year for things to loosen up.  I am sure your doctor will be able to make things right.  my guess is that he is not thrilled either

Sultan Hassan, MD, FRCS(Plast) · Answer

Hi and thank you for your photographs. I am sorry you have understandable concerns about your scar asymmetry 5 weeks after your operation. As you are in the early phase of healing you will inevitably have further maturation and relaxation of your skin and scar. Its likely that as your tissues mature then it will be more feasible that further revision surgery will be successful in improving the degree of asymmetry that affects your tummy tuck scar.it would be important to attend review consultation with your plastic surgeon to discuss you're outcome

Matthew H. Steele, MD · Answer

Thanks for your question and photo.  I am sorry that you are having concerns after your tummy tuck. From what I can see, you definitely have some asymmetry.  It is unlikely that this will improve with time.  I would recommend that you wait 6-12 months to let the swelling resolve and let the tissues relax.  A revisionary surgery can be performed to help improve the scar location.  I always caution my patients, that true symmetry is not the norm and is almost impossible to provide with surgery.  However, I think your situation could be improved, but it is best to wait right now.  Good luck.

Michael Ian Rose, MD · Answer

While it is still early in your recovery, there is some apparent asymmetry in your incision.  You should give your body a chance to heal from this procedure for about 4-6 months and then discuss with your plastic surgeon any revisions.  Typically a small scar revision may be done under local anesthesia and be relatively quick.

Tom J. Pousti, MD · Answer

No, I do not think that you are being too picky.  The asymmetry of your abdominoplasty  scar line would be of concern to most patients and plastic surgeons. Although it is too early to discuss revisionary surgery, at some point, it is likely that you will be a good candidate. It will be important to wait until there is enough laxity above and below the scar line to allow for the procedure to be performed safely. Make sure that you like the quality of your plastic surgeon's work; otherwise, with all due respect  to your plastic surgeon, it may be in your best interest to seek second opinion consultations. Best wishes.

Tarick K. Smiley, MD - Account Suspended · Answer

It is not uncommon to have revisions after a tummy tuck surgery, although in most cases they only involve minor tweaks to improve the appearance of scars (i.e., performed in a doctor's office and under local anesthesia).  Don't worry, you will see improvements as your skin and tissue become more relaxed and your body recovers from the surgical trauma, a process that could take up to six months. After six to eight months and you're still not happy with the appearance of your scar, you may ask your PS for a scar revision surgery, which is just a minor procedure. Good luck and best wishes.

5 weeks post op, I have an asymmetric Tummy Tuck scar. Any suggestions? (photos)

Answers (6)

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