Tummy tuck in a few months. What can I do to prevent “dog ears” from developing during recovery?

Hi lgLmx,
This is an excellent question. Dog ears, or standing cutaneous deformities, results when they are is skin and fat excess at the outer edges of the tummy tuck incision. The tissue that was removed is generally a football in shape, with narrowing at the edges. The way in which the edges are closed, or stated differently, the way in which the upper tissue was advanced, will determine whether a dog ear results or not. In addition, your own skin laxity comes into play. For patients with very lax skin, dog ears are more likely. For these patients, many surgeons would typically suggest an extended approach (face down first, with an extension of the incision toward the back).
Ultimately, there is no substitute for physical exam. This would be a great question free to discuss with your surgeon at her preoperative visit. Depending on you, your body type, how your fat is distributed, and her skin laxity, your surgeon should be able to discuss the likelihood of dog ears being present.
Hope this helps.
Best,
Christopher Pannucci, MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

There is nothing you can do in recovery to prevent them. However, at surgery, the surgeon can excise them by extending the incision. Often times, the surgeon may not want to do that because the scar is more lengthy and more visible. The dog ears may decrease in time or you may need a revision of the dog ears 6 months after the original surgery.

Best Wishes,

Gary Horndeski, M.D.

Dog ears should never part of a Tummy tuck result.
A well planned incision will never end up in dog ears. If sides of abdomen are very saggy and thick it will be necessary an extension: Extended Tummy tuck to prevent dog ears.
Dog ears are 100% preventable.
Look for a PS who is experienced and expert in Tummy tuck.
Be encouraged.
Dr. Cardenas