What would cause port scars like these to be deeply puckered immediately after surgery and not resolve? I thought my supra umbilical incision was my belly button when I woke up it was so deeply indented. What would cause this? A year later my abdominal muscles around that scar tense up and cause pain and require constant soft tissue work to prevent pain. The scar has a clear spot that is tethered to something below and has been that way since the day of surgery. An adhesion did not form, it was stitched like that.