Is There a Hole Under my Breast? (photo)

Question

I am 5 weeks post op tummy tuck and breast lift with no augmentation. I am healing nicely. However when i lift my breast i have what appears to be a hole. There is no leakage and I feel like it is closed it's just the way it looks. My next follow up is May 17th. Is this ok or should I be worried?

D`Arcy Honeycutt, MD · Answer

Chi Chi,

	    This looks like puckering of the skin which is common with this technique.  It may stretch a little and go away in the next few months.  You are still early in the healing phase at this point.  I would send your photos to the nurses at your surgeon's clinic and get their opinion.  By the way, your result looks good so far.

Richard J. Bruneteau, MD · Answer

Your
pictures indicate that you’ve undergone a mastopexy with a lollipop
incision.  When this approach is
utilized, the vertical limb is sometimes shortened to improve contour.  This maneuver utilizes a gathering suture
which often results in puckering of the ends of the closure.

This usually improves with the
passage of time.  Rarely a scar revision
is necessary.  If you’re concerned about
this problem, it’s important to consult your plastic surgeon.  Your surgeon should be able to explain the
situation and formulate an appropriate treatment plan.

Jason E. Leedy, MD · Answer

Although wound healing problems are uncommon after a breast lift, they may occur. The problem in the picture shows some delayed healing at the inverted T. That particular portion of the closure is subjected to the most tension and can result in some mild wound separation. The best thing to do is to consult with your surgeon. Typical areas of mild wound separation usually heal without any issues and local wound care is all that's needed. In the unlikely event that the scar is unacceptable then a scar revision can certainly be performed. I hope this helps and good luck.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. These types of “holes” are not infrequently seen and probably not much to worry about. However, your plastic surgeon will always be your best resource when it comes to specific advice and/or reassurance.

	 Best wishes.

Jeffrey Zwiren, MD · Answer

Wound separation and marginal ischemia are not normal but are also not uncommon especially at the base of the inverted T.  This area is under the most tension and furthers away from the blood supply. You should be evaluated by your plastic surgeon, debrided as needed and placed on a wound protocol to avoid problems while healing.

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Is There a Hole Under my Breast? (photo)

Answers (9)

Answer: "Hole" After Breast Lifting?

Answer: "Hole" After Breast Lifting?

Answer: Wound healing problem after a breast reduction

Answer: Wound healing problem after a breast reduction

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Recommended reading

Everything you need to know about Mommy Makeover

Our mission is to create a world where every investment in modern beauty is Worth It.