Should I be concerned about a knot and tight tendon at my axillary incision site? (Photos)

Question

I am 4 weeks post-op from a breast augmentation procedure. I had my incisions in the axilla region. One of my incions has formed a large knot at and below the incision line. There is no overt redness or drainage. There is a moderate amount of pain. This site also seems to track the right tendon above the suture. Do I have cause for concern?

Frank J. Ferraro, MD · Answer

I ask my patients not use any topicals until two weeks after surgery then start a silicone based scar cream. The area can have sutures that dissolve but can be felt for weeks after surgery and feel tight as well.

James E. Chappell, MD · Answer

I'd ask your surgeon about these changes.  Could be normal post-operative changes, but only they would know and there is no way to diagnose this even with the photos provided.

Kenneth Hughes, MD · Answer

The only way to make a proper diagnosis is to have your plastic surgeon examine the large knot.  Phone or email his/her office for an appointment.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Bhupesh Vasisht, MD · Answer

I am not sure I can see the problem clearly from your photos.  This is something that will need an examination to best help you.  Have your surgeon take a look and help you with this issue.  Good luck. Hope this helps.

Daniel Barrett, MD · Answer

Hi 98sehly95A2,
  
I understand your concern. However, it is difficult to assess your incision site with mere pictures. It is best that you visit your plastic surgeon to have yourself properly assessed. Only after a thorough examination you will get more information and recommendations.
  
Daniel Barrett, MD, MHA, MS
  
Certified, American Board of Plastic Surgery
  
Member, American Society of Plastic Surgery
  
Member, American Society of Aesthetic Plastic Surgery

Should I be concerned about a knot and tight tendon at my axillary incision site? (Photos)

Answers (5)

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