Deep Suture Puckering After Breast Reduction? (photo)

Question

I am 3 1/2 weeks post bilateral breast reduction. After getting the glue and tape off at my PS's office, I noticed my right breast's areola had a large indentation and a pucker. My PS said it was a deep suture pulling and causing the distortion and would eventually loosen as the sutures dissolve. Is this accurate? My left breast is perfect! It's almost like the PS sutured one breast and someone else sutured the other! Completely different incisions and wound approximation on each side. Any advice?

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Wrinkling and puckering around the areola after breast reduction can occur.  This typical resolves after several months after sutures dissolve.

	Dr. ES

Darryl J. Blinski, MD · Answer

Make sure you get a refund from the doctor who did the right side. But seriously, Yes they look different and that is concerning. You need face to face discussions with the surgeon. But allow a few months to pass to see if things smooth out so to speak.

Steven Wallach, MD · Answer

More than likely this will improve with time as the deep sutures dissolve and the swelling goes down.

K. Dwayne Fulks, MD · Answer

This is not an uncommon problem given where you are in the recovery process. Depending on the type of suture used to close that part of the wound, it will show some steady improvement over 2-3 months. However, I believe you will see some improvement soon and then you should have enough confidence to wait that out. So....be patient.

Ashok Govila, FRCS, MCh, MS - Account Suspended · Answer

Thanks for the question and the photos. Your PS is right. Yes it will improve in time. Areola looks depressed many times in these surgeries and comes to surface in time .I don’t think it’s something of concern even if the stitching was done by two different surgeons.

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