Follow up: what is required of "minor" revision surgery to remove "dog ear" from under breasts? Anesthesia?

Question

Thank you for response.

Sheila S. Nazarian, MD · Answer

Small revisions like the one you are talking about to correct "dog ears" can typically be done under local anesthesia in the office. Hope this helps.My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Michelle Zweifler, MD · Answer

Revision or excision of small dog's ears can frequently be performed under local anesthesia in good candidates.  Large Breast revisions may benefit at times from sedation or even general anesthesia.

Christian Subbio, MD · Answer

Dog ears only require sedation when they are very large.  The vast majority of this type of revision surgery can be done with simple local anesthesia injection in the office.  It involves removing a wedge of the tissue, extending the scar, and re-suturing the incision.  In my experience it is not a big deal and is of minimal discomfort to the patient.  Good luck with your final step!Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square, PA

Richard Rosenblum, MD · Answer

The procedure and anesthesia required to do your revision will bedetermined by what you need done.    If it is very"minor" it could possibly be done in the office with local anesthesia.  You need to discuss these options with your plastic surgeon.  Good Luck!

Charles Galanis, MD · Answer

Thank you for your question.  Without photos, I am somewhat limited in addressing your issue specifically.  However, in general, revision for dog ears is a very minor procedure which - if done alone - can typically be accomplished with local anesthetic alone (i.e. no general anesthesia) and potentially in the office setting. This will largely depend on the extent of the revision, your preference, and your surgeon's comfort.  Hope this helps!

John A. Perrotti, MD · Answer

Thank you for your question.  Usually local anesthesia is all that is necessary. It is best to discuss your expectations and the plan with your plastic surgeon.

Steven Wallach, MD · Answer

Many times a simple dog ear can be treated  under local in a treatment room.  If it is more extensive, then sometimes it needs to be done in an OR setting with anesthesia(sedation).

John P. Stratis, MD · Answer

Without a look-see of what the problem is one can only conjecture. Generally it only requires local anesthesia , in the office to do these types of revisions.

Daniel Krochmal, MD, FACS · Answer

Thank you very much for your question.Usually, not very much is required.  Patients are typically awake without any kind of sedation, and the area is numbed up with a local anesthetic.  The "dog ear" is simply cut out, and the skin stitched up.  The incision is typically a bit longer than it was originally in order to cut out the dog ear, but most patients are happy to give up the area of irregular skin contour, even if it means a slightly longer scar.  I hope this helps.  Best of luck!

Follow up: what is required of "minor" revision surgery to remove "dog ear" from under breasts? Anesthesia?

Answers (9)

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