Mastopexy Incision: Puckering, or Keloid? (photos)

These are taken one week post-op for a bilateral mastopexy. I am in my 20s, healthy, and a non-smoker. Are these raised bumps normal at my healing stage? I'm concerned, as some of the tissue looks flat. (The Steri-Strips peeled off before these photos, but I immediately replaced them.) It may be too soon to tell, but I would like to know how I can visually identify keloid growth. Thank you for reading/commenting.

Doctor Answers 5

Not a keloid

The incision is actually bunched together like that on purpose so that during stretch in the healing process, the scar won't widen.

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 51 reviews

Mastopexy Incision: Puckering, or Keloid?

Thank you for your question.  It is far too early to be concerned about a keloid or hypertrophic scar. Signs of a keloid scar or hypertrophic scar usually did not appear until about 6 weeks.  This appears to be bunching of the incision.  Please follow-up with your plastic surgeon and do not follow Internet advice.

Incision Appearance


At one week, you have not even formed scar tissue.  This is just a puckered incision due to internal sutures, which will dissolve with time. Best of luck!

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 79 reviews

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.