It has pass enough time, a scar revision can be done if you still have discomfort.
It looks like you lost some skin and it heal for second intention and you have scar tissue.
In an abdominoplasty that can occur (Alejandro J. Quiroz, MD, FACS, Mexico Plastic Surgeon)
Managing a Poor Tummy Tuck Scar
Your description is in keeping of what we do when a wound separates. If this happens, we pack the wound 1-2 times a day until the wound surfaces come together and heal.
At 5 years, the scar is stable and will not get better. To improve on the wound, it would need to be re-operated on and a SCAR REVISION performed where the old, large scar is removed and skin edges moved in to give a narrower nicer scar. (Peter A. Aldea, MD, Memphis Plastic Surgeon)
Scar revision after abdominoplasty
It sounds you have lost some skin in the lower abdomen that was left to heal by itself. Now you have a scar. You need a revision, and the extent of the revision depend on the laxity of the skin and abdomen in general. See a BOARD CERTIFIED PLASTIC SURGEON, he/she will be able to give you advice. (Samir Shureih, MD, Baltimore Plastic Surgeon)
Tummy tuck scar at 5 years is final-improvement will require scar revision surgery
Scars take about 2 years to mature. Certainly by five years the scar you have is final. If it is unsightly and painful then a scar revision is an option. See the surgeon who performed your tummy tuck and discuss your desire for a revision. (Brooke R. Seckel, MD, FACS, Chicago Plastic Surgeon)
Abdominoplasty scar
AT this point in time, I would strongly consider scar revision surgery. Your result is stable and not likely to change without revision. I would advise you to leave the umbilical area alone and focus on the scar. (Otto Joseph Placik, MD, Seattle Plastic Surgeon)
After 5 years the scars aren’t going to change much without surgery
After 5 years of healing, the scars are pretty well fixed in position and won’t change much regardless of more time, massage etc. The only real way to address them is with a surgical scar revision.
Please visit another surgeon and see if this is possible. It may be that enough laxity has developed over the 5 years that a revision could be feasible. (Richard P. Rand, MD, FACS, Chicago Plastic Surgeon)
Scar revision
After 5 years you have your final result. Any remaining firmness or scarring that is unsightly will require a surgical revision.
Sometimes the fatty tissue under the skin can become firm and if it has not gone away, they speak with you surgeon or a board certified plastic surgeon to review your scar revision options.
Some thickened scars can cause chronic pain. You have give it enough time. Now I would recommend seeking a consultation about your concerns. (Bahram Ghaderi, MD, Manhattan Plastic Surgeon)
Tummy tuck scarring
Afte 5 years, it is extremely unlikely that things will get any better. After 5 years, you may have enough laxity to perform a scar revision to remove the old painful scar. The tissue that healed secondarily may be able to be removed and with a new closure if it heals without complications, it may provide you relief. (Steven Wallach, MD)