Puckering is causing me huge distress after breast lift 3 weeks ago (Photo)

Although your suturing could have been done better, it is very early days for you. With time the puckering should settle. Scars tend to settle reasonably in 3 to 6 months. However, it takes about 12 to 18 months for scars to settle fully. Scars can at times be thickened (hypertrophic) especially in younger patients. This might require treatment with silicone creams or steroid injections.

It is important to massage the scars once they are healed. This helps them settle better. Some patients claim that Bio oil helps scars settle better, but any moisturising cream should be good enough. If there is any indication of the scars becoming thicker, then silicone based creams should be considered.There will be some bruising present especially adjacent to the scars. This will gradually settle over in two to four weeks.

The patient will go home in a bra or with only light dressings over the incision lines. Sutures are dissolvable but an ending knot, if present is removed within 1-2 weeks. Initial discomfort is easily controlled with oral medication. Light activities may be started in 7-10 days.Over time, gravity will continue to have an effect and the breast skin will tend to stretch. The degree of #stretching and #sagging varies between women: generally, women with smaller breasts experience less recurring sagging. If sagging does occur, further excision of the skin on an outpatient basis can be used to correct the problem. Heavy and large breasts may lead to recurrent sagging and may require the removal of a small amount of breast tissue to achieve an optimal shape and size. One key to a satisfying result is realistic expectations.All surgical procedures carry some degree of risk Any breast operation can result in changes in sensation. This happens less with lifts than reductions but is still possible Occasionally, minor complications occur and do not affect the surgical outcome. Major complications associated with this procedure are rare. The suitability of the breast lift procedure and specific risks may be determined during your consultation. #Hypertrophic or #keloid scars can be a problem. The worst are usually under the breast with an #AnchorLift or inverted “T”. These can be treated like all thickened scars with re-excision, laser, kenalog/5-FU injections, creams, silicone strips and other methods to reduce and improve healing.The best thing to do if there are concerns or questions about your feelings since the procedure would be a follow-up with your surgeon to have the area examined and make sure that healing is progressing well. While there are a number of risks at potential, as well as swelling, bruising and pain that can last for several months, it is best to remain in close contact with your surgeon throughout the healing process. Good luck.

This type of puckering is completely normal and will settle down over time. At this point in your recovery, it is much too soon to be worried about the outcome.  It takes time for things to heal.   It may be 6 months or more before the shape has reached its final look.  Be patient.

At three weeks after a breast lift it is still much too early to see your final results!Some puckering and pleating does sometimes occur.Over the next several months this will resolve. Don't let the puckering and skin irregularities you see now cause you distress.  With time, they will disappear. Thanks for sharing!

Swelling and skin irregularities after surgery is normal.  It will take many months for the skin to settle, be patient and follow your plastic surgeon's recommendations for wound/scar care.  Revision surgery can always be performed down the line if you are unhappy with your final result.

Everything looks appropriate and over the coming weeks to months this will settle. The bruising will also settle. You need to keep in touch with your PS regarding massage but you should not be getting distressed. All looks to be progressing appropriately.

Discuss your concerns with your surgeon but the photographs look like normal breast healing.  As the tissue settles the puckering almost always settles.  The most important thing is to relax and let your body heal.

Thank you for your question.  Three weeks is still very early in your post operative course.  Please be reassured that the puckering and indentations you note following your procedure will smooth out over time.  It may take 3-6 months, and sometimes even up to a year, for these to resolve.  And it is not unheard of to have residual bruising even 3 weeks following your procedure.  Best of luck to you.

I understand your concern but i will reassure you , as your plastic surgeon probably has, that what you are seeing falls within the normal range of healing. bruising is quite common. the puckering you see is due to the tension and swelling placed on the incision. as these sutures resorb with time, the swelling will diminish and the incision will flatten. in fact , there are breast lift techniques that can produce puckering much more pronounced than that and the pleating never remains.