Dimple on right breast. Is this scar tissue? Is it muscle that needs to relax? (Photo)

Good question! The area of concern appears to have some ecchymosis or bruising around it, leading me to believe that there may be a small blood collection underneath it, and this may be what your surgeon thought and why he offered an ultrasound. The reason the area moves up when your arms raised is likely due to your pectoralis muscle being tight, but i believe it is unrelated to your actual area of concern. Most times an area of blood or fluid this small with subside by itself, but I encourage you to continue to visit your surgeon regularly as a physical exam is necessary. best of luck!

Hello!  Thank you for your question!  Your area of concern is certainly appreciated on your photos and could be various things.  While unsure of all of the procedures that you had done, it is likely relayed to your surgical procedure and could be sutures or scar tissue from the procedure itself or a postoperative bleed. At 6 weeks postoperative, it is still early in the process and swelling is beginning to subside and the breast/implant are settling. However, I have not seen breast massaging so intense that bruising has developed. Any dimpling of the breast should be of concern and there are other non-surgical things that it may be. I would certainly continue follow up with the your surgeon and would proceed with any imaging of your breast as recommended. Best wishes! 

Dear Cat506,I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process at 6 weeks  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 around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

you should know what information it will provide to your surgeon in his decision making process.  If he is just fishing, its likely you're not going to get any information because most issues with augmentation can be diagnosed clinically.  The dent is appreciable and knowing what you started with would help as sometimes pre-existing deficiencies become evident when the implant is pushing your tissue out.   But let your surgeon do the worrying and provide you with recommendations when you are all healed.

Hi and welcome to our forum!Thank you for your submission. The photographs depict a mass in the soft tissues of the left lateral breast. It could be a myriad of things including a small hematoma, a seroma, a herniated "knuckle" of implant, etc.The performance of an ultrasound will differentiate among these possibilities, and would dictate different treatments to minimize the possibility of any adverse outcome.Best wishes...