Left Nipple Dimpling Inward when I Flex Chest Muscle Muscle at 25 Days Post Op. Should I Be Worried?

When I flex my left chest muscle, the incision site under my nipple dimples inward. I noticed after my 2 week post op exam that under the incision there is this "knot". I do not think that it is scar tissue. Could it be dissolvable stitches underneath? The dimpling is exactly where the "knot" is. My right breast does not do this. My right breast has not "dropped" completely yet either. But my left hasn't moved since the day after surgery or at least not much. Should I be worried?

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7 Doctor Answers | Asked by DaleAnn82 in Dequincy, LA

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Scar indentation after surgery

The "knot" you are feeling is probably the sutures from within that holds the soft tissue together while it heals. The indentation may or may not get better with time. Usually it improves. It may need to be revised but give it time.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Dimpling of breast scar with muscle contraction after breast augmentation

You likely have scar tissue that is involved between your skin and the capsule (shell) around your implant. I would recommend massaging for now since it's still early from your surgery-the scar tissue may still soften. If this persists for several more months, you will likely need surgery to separate the scar tissue from its attachments to the skin. Consult with your plastic surgeon for a more in depth examination. Best wishes, Dr.Bruno

Left nipple dimpling in after breast implants when muscle flexed

When you have breast implants placed through in incision around the nipple, there is scar tissue that extends from the skin, through the breast tissue, down to the capsule around the implant. If the implants are under the muscle, regardless of the incision placement, there may be some distortion of the implant, and sometimes of the overlying tissues and even skin, when the muscle flexes. The lower portion of the muscle is divided so that the implant can be in the proper position,... more

Breast augmentation scarring

You have most likely developed scar tissue between the undersurface of the skin and the chest muscle. That is probably the knot that you feel. You need vigorous massage to break up the scar. If you do not do this or if the scar dose not respond to this you will likely need surgery to divide the scar between skin and muscle. My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a... more

Incision dimples after breast augmentation

The dimple in the periareolar incision is caused by the way the tissue under the nipple has adhered to the chest muscle and implant capsule. The way we prevent this with the periareolar approach is to work from the incision down to the breast fold, and then back up and under the muscle to leave the breast tissue between the skin and implant. With massage the dimple may 'let go', though if it remains stuck the incision can be revised. Best of luck, peterejohnsonmd more

This is a problem that may need revision

The implant placement through the periareola incision has the risk of the scar depression and pull with muscle contraction.You need to talk to your plastic surgeon regarding your concerns and revision.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

What causes animation deformity after breast augmentation

In breast augmentation with implants under the muscle using the dual plane technique, a portion of the pectoralis muscle is cut from its attachment to the rib cage. This is necessary because the point of attachment is higher than the bottom edge of the breast, so the implant would sit much too high; releasing the muscle attachment opens up space for the implant to sit. (That is why it is called dual-plane; the lower part of the implant is under the breast, upper part covered by... more