There is internal stitching, but why is it indented with a fat pocket above it? Will it go away? (Photo)

Question

I'm scared it's going to heal deformed like this, the other side looks nothing like this.

S. Larry Schlesinger, MD, FACS · Answer

Thank you for this interesting question.  It appears that your plastic surgeon has done a capsular repair of an implant that fell too far to the side.  This type of repair is called either a capsulorrhaphy or a capsulopexy.  In a capsulorrphaphy, that portion of the pocket that has been previously overdissected is closed by sutures imbricating (sewing together) two sides of a breast implant pocket.  At times, these sutures may also grab some of the dermis of the skin leading to an indent which also gives the impression of a fat pocket above.  Most plastic surgeons use dissolvable sutures and therefore these indentations most always go away.  That being said, you should contact your personal plastic surgeon and get his or her opinion after an in person consultation.

David A. Caplin, MD · Answer

If your surgery was performed recently (less than 3-4 months ago) I would just give this time and keep in close contact with your surgeon.  If this is a long-standing indentation then revision may eventually be necessary and there will likely be a few surgical  options from which you could choose. Often times these issues self-correct.

Curtis Wong, MD · Answer

surgery suggests some internal pocket work was done and it can cause retraction deformities on your skin.  As the skin stretches or the sutures dissolves or both, the dent should improve with time.  If ti does not, your surgeon can usually release the tethered tissues through a small incision that can be done in the office under local.

Steven Wallach, MD · Answer

If your doctor performed a capsule repair, this might be related to sutures placed. Often this relaxes with time.  Best of luck.

There is internal stitching, but why is it indented with a fat pocket above it? Will it go away? (Photo)

Answers (4)

Answer: Indent

Answer: Indent

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

There is internal stitching, but why is it indented with a fat pocket above it? Will it go away? (Photo)

Answers (4)

Answer: Indent

Answer: Indent

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.