What would be the cause of this indentation that appeared on my vertical incision of my abdominoplasty overnight? (Photo)

I am 9 days post-op from a fleur de lis abdominoplasty and breast lift. I noticed this indentation or "dimple" on my vertical incision. What could cause that? I don't have pain besides the normal pulling/soreness from incisions. I've attached two pictures in different lighting. Thank you!

Doctor Answers 10

Indentation likely a suture

Thank you for the question and photos.  The indentation is likely related a deep suture.  The reason for its appearance "overnight" is likely swelling going down.  If the suture is a dissolvable suture the indentation should improve with time.  Even with permanent sutures such indentations are likely to improve and go away with time.

All the best,

Dr. Remus Repta

Scottsdale Plastic Surgeon
4.9 out of 5 stars 156 reviews

Indentation on abdominoplasty incision line?

Thank you for the question and pictures. The area of indentation is caused by a deeper (probably absorbable) suture. These areas of irregularities or "puckering" tend to smoothen out over the course of the first several months after surgery. Best wishes for an outcome that you will be very pleased with long-term.


That slight pucker or indentation is most likely due to tension on a deeper suture.  You may notice things like this more as your swelling decreases.  The swelling tends to hide puckers and dents.  BUT, don't worry and give yourself time, it should all settle down and look smooth.  Good luck, Jane

FDL incision dent

Hello, it is difficult to know what is causing your dent without a proper exam.  One common cause would be puckering from a suture.


The area you are indicating is likely caused from a deeper suture.  As you are only nine days out from surgery this will likely not be a problem and it should continue to improve as you heal.  However if you have further questions, or concerns always discuss them with your surgeon.  He/She is most familiar with the details of your surgery and how you're progressing through recovery.

Camille Cash, MD
Houston Plastic Surgeon
5.0 out of 5 stars 31 reviews

Pucker in skin during healing

You should not worry about this indentation. It is likely caused by a stitch that is pulling against one of the ligaments attached to the skin. It is more visible now because the swelling of the surgery is resolving, however when the stitch melts away it will release.

I hope that this helps.

Sheldon Lincenberg, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 25 reviews

Early postop

You are very early postop and I would try and not be too concerned about irregularities at this stage. Swelling , stitches , compression garments can all contribute to unusual appearances. See your PS if you are having any concerns. 

Gary L. Ross, MBChB, FRCS
Manchester Plastic Surgeon
5.0 out of 5 stars 150 reviews

What would be the cause of this indentation that appeared on my vertical incision of my abdominoplasty overnight?

It is always best to ask your PS as they know more about you and your surgery specifically. My best guess would be that the indentation is from a suture tethering and will go away with time. Once your PS clears you to massage, start massaging that area. 

What would be the cause of this indentation that appeared on my vertical incision of my abdominoplasty overnight? (Photo)

Thank you for sharing your question and photographs. Unfortunately without an in-person examination it is difficult to offer definite advice but it is most likely due to suturing technique of your skin.  Your surgeon would be able to provide you with the best reassurance.  

Nelson Castillo, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 46 reviews

Dimple after tummy tuck

It is difficult to tell what may be causing this from your pictures alone. Often, when closing different layers of tissue, a suture may be placed at different levels on the opposing sides, creating a similar appearance. If this from dissolving sutures,it will typically resolve on its own. Ask your surgeon to examine it at your next visit.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.