I had a tummy tuck along with breast augmentation and lift performed on October 27th 2011. Im extremely concerned about my scar. I'm in the fitness industry and I specifically said this was my biggest concern. I seem to have dog ears on each side and pleating of the skin, badly. My doctor keeps saying "in time" this will smooth out..I live out of country due to military so this is not something I can just come back in 6 months to fix. Should I ask for a revision in office before leaving in Jan?
Answer: Tummy Tuck Scars
It looks like you are very early post op and it is too early to get worried. When a shorter incision is desired or insisted upon, then the upper layer needs to be pleated to bring the skin together. In general minor pleating flattens as the incision heals. Hopefully they discussed with you beforehand the risk of shorter incision versus pleating. Also, you do not post a pre-op pic, so we cannot see how much skin was actually removed. The goal, of course, is a flap incision with no dog ear. I hope this is helpful.
Good Luck.
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Answer: Tummy Tuck Scars
It looks like you are very early post op and it is too early to get worried. When a shorter incision is desired or insisted upon, then the upper layer needs to be pleated to bring the skin together. In general minor pleating flattens as the incision heals. Hopefully they discussed with you beforehand the risk of shorter incision versus pleating. Also, you do not post a pre-op pic, so we cannot see how much skin was actually removed. The goal, of course, is a flap incision with no dog ear. I hope this is helpful.
Good Luck.
Helpful 3 people found this helpful
Answer: Tummy Tuck Scars- pleating and dog ears
to correct tummy tuck scars and pleating it is necessary to extend your abdominoplasty scar outwards. although most patients naturally want to limit the lenght of their tummy tuck scars, actually a minutely lenghtened scar will not be as noticable as a pleated short scar.
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Answer: Tummy Tuck Scars- pleating and dog ears
to correct tummy tuck scars and pleating it is necessary to extend your abdominoplasty scar outwards. although most patients naturally want to limit the lenght of their tummy tuck scars, actually a minutely lenghtened scar will not be as noticable as a pleated short scar.
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November 23, 2011
Answer: Tummy Tuck and Incision Line
Thank you for the question and pictures.
No, revisionary surgery is not indicated at this time. It may not be required long-term either. You will be amazed how the “pleating" slowly resolves with time. The “dog ear" will also improve with time ( but is more likely to require revision surgery and the scar otherwise).
Your doctor is giving you good advice.
Best wishes.
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November 23, 2011
Answer: Tummy Tuck and Incision Line
Thank you for the question and pictures.
No, revisionary surgery is not indicated at this time. It may not be required long-term either. You will be amazed how the “pleating" slowly resolves with time. The “dog ear" will also improve with time ( but is more likely to require revision surgery and the scar otherwise).
Your doctor is giving you good advice.
Best wishes.
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November 8, 2011
Answer: Your scars will settle down
Your scars look normal this shortly after surgery. The pleating WILL go away after about 3 months. When I perform tummy tucks sometimes I need to pull in the skin and this creates the look you show us in your pictures. I have yet to need to revise my scars. I explain to my patients that they will look pretty awful right after the surgery and that over 3 months it will smooth out. It always does. The end points, however, seem like they may need a small touch up but that's something very minor that could be done just in the clinic with some freezing, you don't need to worry about requiring a major procedure.
Sincerely,
Martin Jugenburg, MD
Helpful 2 people found this helpful
November 8, 2011
Answer: Your scars will settle down
Your scars look normal this shortly after surgery. The pleating WILL go away after about 3 months. When I perform tummy tucks sometimes I need to pull in the skin and this creates the look you show us in your pictures. I have yet to need to revise my scars. I explain to my patients that they will look pretty awful right after the surgery and that over 3 months it will smooth out. It always does. The end points, however, seem like they may need a small touch up but that's something very minor that could be done just in the clinic with some freezing, you don't need to worry about requiring a major procedure.
Sincerely,
Martin Jugenburg, MD
Helpful 2 people found this helpful
November 7, 2011
Answer: Early irregularities in tummy tuck scar often resolve on their own
Scars from tummy tuck can look pretty worrisome early on. You are less than 2 weeks postop when these photos were taken and I can certainly see the pleating and dog ears you are concerned about. However, you are very early in the healing process. At this stage, things are very swollen, and swelling can make those pleats look pronounced and the dog ears look humongous. It is very probable that you will smooth out nicely over time as the healing progresses. I do understand your concern about living abroad and not being able to easily get a scar revision later. However, reoperating this early with this amount of swelling and inflammation of the tissues may be really difficult and I would not do it. I do believe that the majority of this will resolve on its own with time.
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November 7, 2011
Answer: Early irregularities in tummy tuck scar often resolve on their own
Scars from tummy tuck can look pretty worrisome early on. You are less than 2 weeks postop when these photos were taken and I can certainly see the pleating and dog ears you are concerned about. However, you are very early in the healing process. At this stage, things are very swollen, and swelling can make those pleats look pronounced and the dog ears look humongous. It is very probable that you will smooth out nicely over time as the healing progresses. I do understand your concern about living abroad and not being able to easily get a scar revision later. However, reoperating this early with this amount of swelling and inflammation of the tissues may be really difficult and I would not do it. I do believe that the majority of this will resolve on its own with time.
Helpful 1 person found this helpful