Go see your surgeon and see if there is something he can do to improve the appearance. Maybe a scar revision is in order.

Published on Jul 11, 2012

It isn't uncommon to have a simple scar revision/excision after a tummy tuck. It can be performed alone or with other procedures, either in the OR or in most offices.

Published on Jul 11, 2012

Just excise (remove) the pucker and reclose.

Published on Jul 11, 2012

You may have what is called a dog ear. This occurs when the length of the two incisions are unequal, resulting in a bulge on one or both sides of the incision. Sometimes, after the healing is all complete, dog ear revision can be done. I am certain your doctor will advise you when you go in for your follow-up visit. Just make sure to raise your concerns.

Published on Jul 11, 2012

It is difficult to answer this question without a photo - but puckering at the incision may only require a small scar revision that can often be done under local anesthesia. On some occasions, a minor lipo touch up may be required.

Published on Jul 11, 2012

Thank you for your question. The puckering my be or residual laxity at the incision if there were stretch marks in that region or loose skin. You may need a minor scar revision if the area doesn't improve. It may take up to a year for the scar to completely heal. You should discuss your treatment options with your plastic surgeon.

Typically a scar revision would be needed to fix this which could be done under local anesthesia in an office procedure room. The area of puckering could be removed and the scar flattened . This may require internal and external sutures, but it is typically a very easy procedure with little to no down-time depending on scar revision length.

Published on Jul 11, 2012

From your description, it sounds like what we call a hypertrophic scar, often mistakenly called a keloid. The hypertrophic scar is a healing wound that makes more scar than is necessary and is almost a genetic or familial issue. Usually the first form of treatment would be steroid injections and one of the commercial scar treatment creams such as mederma or silicone sheeting, both of which can be purchased at any major pharmacy without a prescription. You should get in to see your surgeon because in some cases a surgical scar revision is required.

Published on Jul 11, 2012

I'm not clear on what you mean by puckering up. If I could see photos with you as a patient I'd be able to share my thoughts. As always, you are best to see what your original surgeon suggests.

Published on Jul 11, 2012

It is not uncommon to have what's called "dog ears" or more technically "standing cones" at the ends of your abdominoplasty incision.

This is usually easily fixed with a dog ear excision which can be done under local anesthetics.

Published on Jul 11, 2012