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 6

Lipo-lift

I appreciate your question.

I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster. The size would depend on the proportion with your body versus going for a cup size.

It takes 6 weeks to heal and I wait 12 months before any scar revision.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.

 

Best of luck!

   

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Lipo-lift

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I appreciate your question.

I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster. The size would depend on the proportion with your body versus going for a cup size.

It takes 6 weeks to heal and I wait 12 months before any scar revision.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.

 

Best of luck!

   

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

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.

Not a keloid

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

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.

Mastopexy Incision: Puckering, or Keloid?

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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

Hello,

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!

Incision Appearance

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Hello,

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!

Mastopexy Incision: Puckering, or Keloid?

Your scars look normal for your stage of healing. Scars typically thicken over the first two to four months after surgery, before they begin to flatten and turn whiter over a year or so. In a mastopexy the inframammary scar is usually thicker than the vertical scar and the scar around the areola. Moreover, we are able to keep the inframammary scar shorter by doing a bit of pleating; the pleating disappears over time. All the best.

Mastopexy Incision: Puckering, or Keloid?

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Your scars look normal for your stage of healing. Scars typically thicken over the first two to four months after surgery, before they begin to flatten and turn whiter over a year or so. In a mastopexy the inframammary scar is usually thicker than the vertical scar and the scar around the areola. Moreover, we are able to keep the inframammary scar shorter by doing a bit of pleating; the pleating disappears over time. All the best.

Breast lift incision: puckering or keloid?

Incisions stay red, lumpy and bumpy for six months. Then the incision forms a nice firm healing ridge, which then takes a minimum of six months before it even begins to soften. This is normal healing for everyone. A keloid is scar tissue that extends beyond the healing line, like a mini cauliflower. Be patient. It's always a good idea to consult with your surgeon when you are concerned. Hope this information is reassuring. For more information on this and similar topics, I recommend a plastic surgery Q&A book like "The Scoop On Breasts: A Plastic Surgeon Busts the Myths."

Breast lift incision: puckering or keloid?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Incisions stay red, lumpy and bumpy for six months. Then the incision forms a nice firm healing ridge, which then takes a minimum of six months before it even begins to soften. This is normal healing for everyone. A keloid is scar tissue that extends beyond the healing line, like a mini cauliflower. Be patient. It's always a good idea to consult with your surgeon when you are concerned. Hope this information is reassuring. For more information on this and similar topics, I recommend a plastic surgery Q&A book like "The Scoop On Breasts: A Plastic Surgeon Busts the Myths."

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.