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

It’s really in the hands of your surgeon. Dog ears are sometimes hard to prevent but they are easy to fix so it’s nit something you should worry about

Dear IgLmx,

"Dog ears" are indeed a possibility following a tummy tuck procedure, but there are several proactive steps that can be taken to reduce the likelihood of their occurrence.

Firstly, the design of the incision can play a significant role. A plastic surgeon experienced in tummy tucks will know how to position and angle the incision to minimize the risk of "dog ears." It's also crucial that the incision extends far enough laterally to properly address the excess skin in these regions.

Secondly, the technique employed during the surgery can also impact the outcome. Techniques such as progressive tension sutures can help to evenly distribute tension across the incision, reducing the risk of "dog ears."

Your individual anatomy, including factors like the distribution of your excess skin and the elasticity of your skin, can also play a role. Your surgeon should take these into account when planning your surgery.

During recovery, following your surgeon's instructions for post-operative care, such as wearing a compression garment and managing activity levels, can help promote optimal healing and minimize the risk of complications, including "dog ears."

In your case, considering your healthy weight and the specific details you've shared about your abdominal bulging, it's reassuring. However, discussing these concerns directly with your surgeon would provide the most accurate and personalized advice.

Remember, even if "dog ears" do occur, they can often be corrected with a minor revision procedure. Ultimately, the goal is to achieve a result that you're happy with, and your surgeon is your best friend in that journey.

Sincerely,

Dr. Katzen

Thank you for your question. There's not much you as a patient can do to prevent the possibility of dog ears. If they do occur it is a very simple procedure to have them removed / improved. Best of luck to you.

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

Thank you so much for your question. If you are planning to have tummy tuck in a couple months it's very important to start preparing your surgery for it, a good routine of exercises will help you to have a good foundation before surgery. Dog ears is not something that all the patient ends after this procedure, Dog ears usually arise due to shortened incisions during a tummy tuck. Patient with not too much extra skin and a healthy way are difficult to end with it, please address this concern to your surgeon and make sure he/she can work in your body type. Good surgery and speedy recovery.

Hope this helps
Dr. Quiroz

Dear IgLmx,
it is hard to tell for sure without an examination. Generally speaking, dog ears happen due to surgical techniques. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

To help prevent “dog ears” during your tummy tuck recovery, you can: 1. Choose a skilled surgeon: Select a board-certified plastic surgeon with experience in tummy tuck procedures to minimize the risk of complications.2. Follow post-op instructions: Adhere to your surgeon’s post-operative care instructions, including how to care for your incisions and when to resume physical activity. 3. Maintain a stable weight: Try to reach and maintain a stable weight before the surgery to reduce the chances of uneven fat distribution. 4. Wear compression garments: Wearing compression garments as recommended by your surgeon can help support the healing process and prevent tissue from bunching. 5. Massage and scar care: Gentle massage of the area and using scar creams or gels, as advised by your surgeon, can help smooth out the healing tissue.6. Stay active: Gentle, controlled movement and light exercise can aid circulation and healing. Follow your surgeon’s advice regarding physical activity. 7. Be patient: Allow time for your body to heal naturally. “Dog ears” may resolve on their own as swelling subsides and the tissues settle.Always consult your surgeon for guidance and follow their recommendations for the best results and a smooth recovery.

The dog ears are more on the surgeon's part than on yours. some people have excess skin that keeps going on around to the back. If ear do present, they are easy to remove in the office a few months later.