Will puckering on left breast at the bottom of the anchor incision resolve? Or will I likely need a revision? (Photos)

Question

14 days ago I had (16 year old) saline implants removed with an enbloc capsulectomy. I had an anchor lift, and fat grafting. I am very happy with the small size and overall results, but there is puckering where the drain had been on one side. Does this puckering look abnormal? Is it likely I will need a revision?

Ryan E. Austin, MD · Answer

Incision take time to settle after surgery, typically at least 3-6 months, and the scars will change significantly in that time. As the tissue stretches out, much of the puckering should improve significantly. If there is still some puckering after the scar has matured, this can easily be fixed with a minor procedure under local anesthetic

Daniel Barrett, MD · Answer

Dear dsinclair,I understand your concern and it is quite normal to be concerned about the outcome following a breast lift surgery. However, you are still in the very early stages of the healing process at 1 days  post op.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides you will be able to see the final result of your surgery.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ned Snyder, IV, MD · Answer

Thank you for submitting your questions and photos!  The puckering you are describing should correct itself over the next few weeks to months.  Once you are more healed, your plastic surgeon can also teach you scar massage techniques and topicals that will help speed up the flattening out process of the scar.  Congratulations on your surgery, good luck with the rest of your recovery, and thanks again for your inquiry.

Camille Cash, MD · Answer

The puckering should improve as you continue to heal.  Be sure to follow the advice of your plastic surgeon and discuss any concerns you have regarding your recovery.

Surjit S. Rai, MD · Answer

I agree with the other surgeons. The swelling to your breasts and the scars will change considerably in the next several weeks to months. Your surgeon will likely recommend scar massage once the scars have healed enough. That should help to smooth out any residual puckering. If you have any questions or concerns you should try to see your surgeon for guidance

Connie Hiers, MD, FACS · Answer

You are very early in your healing phase, and still have some swelling. Most puckers do go away over time. Massage could be helpful. Please discuss your concerns with your surgeon.

Will puckering on left breast at the bottom of the anchor incision resolve? Or will I likely need a revision? (Photos)

Answers (6)

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