3 weeks post surgery, 300cc under muscle, incision under breast and scar healing indented. What can I do? (photos)

Question

I am exactly 3 weeks post op and during the first 3 weeks have work waterproof dressing (replaced by PS each week) but the strips he put on have remained in place since the day after surgery. Now that I've been able to see the scars the one under my right breast is healing with an indent towards my body and giving the lower shape of my breast a square/flat look. Photo doesn't show it very well. I have also emailed my PS but still awaiting a reply.

Robert Cohen, MD · Answer

Having mild scar tethering a few weeks after surgery is common, and will most likely round out over time. Many surgeons intentionally tack the inframammary fold to stabilize the implants while the healing occurs, and this may be contributing to your appearance.  I wouldn't worry for now.  Wait to speak with your surgeon, but know that this is unlikely to be a permanent problem, and is generally a straightforward correction in the unlikely event that it does not improve with time and scar massage.  Good luck!

Jonathan Adamthwaite, FRCS (Plast) · Answer

Many thanks for your question. The scar in the fold can appear indented following this area being secured to the chest wall. Be reassured that over time this settles and you should expect this to improve in appearance. Your final result following breast augmentation takes at least six months to become apparent. 
All the best,
Jonathan

Martin Jugenburg, MD · Answer

It looks completely normal. But if you feel more comfortable follow up with your surgeon. Best of luck. Regards

Jerome Edelstein, MD · Answer

Hello,Thank you for your question and photos. You likely have some deep, tight sutures in the breast crease which may cause an indent for some time until the tissue softens. Talk with your Plastic surgeon if you have ongoing concerns or do not notice improvement in a few months.All the best

Paul M. Parker, MD, FACS · Answer

You'll hear what your surgeon has to say, but you should probably be fine when the scar matures and softens. These scars can be somewhat indented early on after surgery but typically improve over time.

Christopher J. Davidson, MD, FACS · Answer

Thank you for your question and photograph.  Your photograph indicates normal healing.  Scars can take up to a full year to mature and the scar and one breast can appear different than the other.  A fully matured scar can be treated with laser or revised.  Best of luck.

John C. Pedersen, MD, FACS · Answer

Thank you for your question. Your skin around the incision is irritated this will clear up with local care.  I can see the indentation in the photo is giving rise to the unusual shape of the breast. However, your surgery was only three weeks ago and this is too early to evaluate the final outcome. Many of the small contour deformities will diminish if not disappear over the next few months. It is important to present your concern in person to your surgeon. Your surgeon can help you and guide your recovery. I wish you well.

Sohail Akhtar, MBChB, FRCS(plast) · Answer

I wouldn't be too concerned about the scar at three weeks post operation. The scar will change considerably over the next 6 - 9 months.
It will soften and flatten, firm massage with moisturiser under the guidance of your plastic surgeon will help accelerate the process. Your breast shape will also change considerably as the skin stretches over the next 2 months.

Reza Nassab, FRCS (Plast) · Answer

Thank you for your question and photos.  It is still early following your procedure.  The indentation may be from trying to secure the inframammary fold.  The shape of breasts and scar will change further with time so be patient for now as it is still very early.

James C. Pietraszek, MD · Answer

Dear Caz, You are still very early in your post-op course and will improve with time. The best thing to do is discuss your concerns with your surgeon.

3 weeks post surgery, 300cc under muscle, incision under breast and scar healing indented. What can I do? (photos)

Answers (18)

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