Left Nipple Dimpling Inward when I Flex Chest Muscle Muscle at 25 Days Post Op. Should I Be Worried?

You likely have scar tissue that is involved between your skin and the capsule (shell) around your implant. I would recommend massaging for now since it's still early from your surgery-the scar tissue may still soften. If this persists for several more months, you will likely need surgery to separate the scar tissue from its attachments to the skin.

Consult with your plastic surgeon for a more in depth examination.

Best wishes,

Dr.Bruno

You have most likely developed scar tissue between the undersurface of the skin and the chest muscle. That is probably the knot that you feel. You need vigorous massage to break up the scar. If you do not do this or if the scar dose not respond to this you will likely need surgery to divide the scar between skin and muscle.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

In breast augmentation with implants under the muscle using the dual plane technique, a portion of the pectoralis muscle is cut from its attachment to the rib cage. This is necessary because the point of attachment is higher than the bottom edge of the breast, so the implant would sit much too high; releasing the muscle attachment opens up space for the implant to sit. (That is why it is called dual-plane; the lower part of the implant is under the breast, upper part covered by muscle.) The problem that can arise is that the cut end of the muscle heals into the scar capsule, so when you flex you can see pulling. This can be either at the edge of the areola as the pictures you posted show, or lower, where it can also form a "double bubble." It is still early in the post-op period so it may improve with time. If not, you may consider converting to a split-muscle technique.