I am about 3 weeks post op and everything is healing nicely. however, when i stand with correct posture or raise my arms above my head a line appears below my incision. it is very prominent on my left and there are actually 2 on my right but they arent really bothering me. the one on the left causes a painful streching feeling when raising my arms. after looking at the photos... i feel like its something with the stitching, how do i make it go away?
Answer: This is Mondor's cord or phlebitis. This tender cord or band (that feels like a sore tendon) is immediately below your incision, which cut through one of several superficial veins in this area. See Dr. Aldea's answer also. The vessel or vessels are divided by your incision, coagulated at the time of surgery, and remain clotted and tender to stretch or touch for several weeks until your body can dissolve the old blood, replace the non-flowing vessels with scar tissue, and adequately soften and mature the scar inside the vessels as well as in the incision. This is treated by verbal (or e-written) reassurance, education that this is not of any concern whatsoever to your health or your result, and since you are now 3 weeks or more from surgery, oral ibuprofen (Advil, Nuprin, etc). These will help with the inflammation that makes this area tender as well as provide some pain relief! I don't generally recommend a heating pad or hot compress because some areas of the breast are numb and you can cause blisters without your normal "Too hot!" sensory capability. Mondor's phlebitis takes a while to completely go away, so don't be concerned. Best wishes! Dr. Tholen
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Answer: This is Mondor's cord or phlebitis. This tender cord or band (that feels like a sore tendon) is immediately below your incision, which cut through one of several superficial veins in this area. See Dr. Aldea's answer also. The vessel or vessels are divided by your incision, coagulated at the time of surgery, and remain clotted and tender to stretch or touch for several weeks until your body can dissolve the old blood, replace the non-flowing vessels with scar tissue, and adequately soften and mature the scar inside the vessels as well as in the incision. This is treated by verbal (or e-written) reassurance, education that this is not of any concern whatsoever to your health or your result, and since you are now 3 weeks or more from surgery, oral ibuprofen (Advil, Nuprin, etc). These will help with the inflammation that makes this area tender as well as provide some pain relief! I don't generally recommend a heating pad or hot compress because some areas of the breast are numb and you can cause blisters without your normal "Too hot!" sensory capability. Mondor's phlebitis takes a while to completely go away, so don't be concerned. Best wishes! Dr. Tholen
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Answer: Band post BA This line is usually a cord of thickened scar tissue seen sometimes in the early phase post BA. it may be painful and tender initially. Mondor's disease is similar and involves inflammation of small veins here. Apply topical crew like Hirudoid ( used for haemorrhoids ) and it may help
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Answer: Band post BA This line is usually a cord of thickened scar tissue seen sometimes in the early phase post BA. it may be painful and tender initially. Mondor's disease is similar and involves inflammation of small veins here. Apply topical crew like Hirudoid ( used for haemorrhoids ) and it may help
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October 5, 2015
Answer: Transient, could resolve with time. The band that’s noted in your post-operative picture is occasionally seen following breast augmentation surgery.This band is known as a Mondors band and occurs when veins are divided along the inframammary fold.Clot forms within these veins which eventually forms scar tissue.This is usually a transient phenomena which typically responds to massage.When this lesion is associated with pain, both warm compresses and Aleve are helpful as well.If you’re concerned about this type of scar band, it’s appropriate to consult your plastic surgeon.Your surgeon should be able to answer your questions and reassure you.
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October 5, 2015
Answer: Transient, could resolve with time. The band that’s noted in your post-operative picture is occasionally seen following breast augmentation surgery.This band is known as a Mondors band and occurs when veins are divided along the inframammary fold.Clot forms within these veins which eventually forms scar tissue.This is usually a transient phenomena which typically responds to massage.When this lesion is associated with pain, both warm compresses and Aleve are helpful as well.If you’re concerned about this type of scar band, it’s appropriate to consult your plastic surgeon.Your surgeon should be able to answer your questions and reassure you.
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February 19, 2018
Answer: What is This Line Beneath my Breast Augmentation Incision? Thank you for the question. Your photographs demonstrate Mondor's veins ( inflamed veins). Your plastic surgeon will always be your best resource when it comes to making accurate diagnosis and treatment recommendations. The use of anti-inflammatories and warm compresses may be helpful to expedite resolution (check with your plastic surgeon). Resolution of this inflammatory process may take several weeks/months.Best wishes.
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February 19, 2018
Answer: What is This Line Beneath my Breast Augmentation Incision? Thank you for the question. Your photographs demonstrate Mondor's veins ( inflamed veins). Your plastic surgeon will always be your best resource when it comes to making accurate diagnosis and treatment recommendations. The use of anti-inflammatories and warm compresses may be helpful to expedite resolution (check with your plastic surgeon). Resolution of this inflammatory process may take several weeks/months.Best wishes.
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May 1, 2011
Answer: Vertical Line Under Breast = Pull from a Stitch or a Clotted Vein
An anchoring stitch from the breast to the chest wall
When I use an inframammary incision, I place firm anchoring sutures to "set" the bottom of the implant pocket. These sutures can cause a pull in the early post-op period that can cause a vertical line under the breast when raising the arm that looks similar to the picture you've shown. Massage will help loosen these tissues and the strong sutures I use weaken and dissolve over time as the body heals and forms a pocket around the implant.
Clotted Superficial Vein (medically referred to as a Mondor's Cord)
A Mondor's Cord is a clotted superficial vein after breast augmentation that classically presents with mild pain and a slight blue tinge and a vertical ridge when raising the arm like in the picture you submitted. Treatment is non-surgical with warm compresses and massage and should resolve without problems.
Hope this helps,
Nick Slenkovich, MD FACS
Helpful
May 1, 2011
Answer: Vertical Line Under Breast = Pull from a Stitch or a Clotted Vein
An anchoring stitch from the breast to the chest wall
When I use an inframammary incision, I place firm anchoring sutures to "set" the bottom of the implant pocket. These sutures can cause a pull in the early post-op period that can cause a vertical line under the breast when raising the arm that looks similar to the picture you've shown. Massage will help loosen these tissues and the strong sutures I use weaken and dissolve over time as the body heals and forms a pocket around the implant.
Clotted Superficial Vein (medically referred to as a Mondor's Cord)
A Mondor's Cord is a clotted superficial vein after breast augmentation that classically presents with mild pain and a slight blue tinge and a vertical ridge when raising the arm like in the picture you submitted. Treatment is non-surgical with warm compresses and massage and should resolve without problems.
Hope this helps,
Nick Slenkovich, MD FACS
Helpful