Dog Ear After Tummy Tuck: What You Need to Know
When you undergo a tummy tuck, the goal is a flatter, firmer abdomen with smooth contours. However, some patients may notice an extra fold or “pucker” of skin at the edges of the incision line, often called a “dog ear.” While this is a common and generally minor issue following a tummy tuck, it’s helpful to understand why dog ears happen, how they can be corrected, and what steps you can take to prevent them.
What Are Dog Ears?
Dog ears refer to small protrusions of excess skin and fat that can develop at the ends of a tummy tuck incision. They typically occur due to the natural way the skin heals after being tightened and sutured, particularly in cases where there is significant excess skin. Dog ears are often noticed at the sides of the lower abdomen, near the hip area, and may appear as small, rounded folds.
Causes of Dog Ears After a Tummy Tuck
Dog ears can develop for a few reasons:
- Skin Tension and Placement: Skin is pulled taut and re-draped over the abdomen during a tummy tuck. Sometimes, tension at the end of the incision line causes slight puckering.
- Amount of Skin Removed: If there’s significant excess skin, more tissue manipulation is required, which can increase the likelihood of dog ears.
- Body Shape and Structure: Each individual’s body shape, skin elasticity, and healing process are unique, influencing how the skin settles and whether dog ears appear.
Are Dog Ears Harmful?
Dog ears are typically harmless and do not pose any health risks. However, they may cause aesthetic concerns for some patients who wish for a smooth, seamless contour post-surgery. For most, dog ears are subtle, but they can be more pronounced in some cases, especially if substantial skin removal was done or if the person has limited skin elasticity.
How Are Dog Ears Treated?
The good news is that dog ears can be corrected with a minor revision surgery:
- Revision Surgery: A dog ear correction usually involves removing the excess skin and fat at the incision ends. This procedure can often be done under local anesthesia in a short amount of time.
- Timing for Revision: It’s usually recommended to wait at least 6 to 12 months post-tummy tuck before opting for dog ear correction. This waiting period allows the body to heal fully, as some dog ears may diminish on their own over time.
Preventing Dog Ears
While not all cases can be prevented, specific techniques during surgery and post-op care can minimize the chance of dog ears:
- Choosing the Right Incision: Surgeons may use specific incision placements and techniques tailored to body shape to reduce the likelihood of dog ears.
- Adhering to Post-Op Instructions: Following your surgeon’s aftercare instructions can support better healing, especially in minimizing tension in the incision area.
- Working with an Experienced Surgeon: A skilled plastic surgeon with experience in tummy tuck procedures will be more aware of achieving smooth contours and minimizing excess skin folds.
Final Thoughts
After a tummy tuck, dog ears are common, treatable, and manageable. If you’re considering a tummy tuck or have already had the procedure, talk to your surgeon about any concerns regarding dog ears and any options for revision if necessary. In most cases, dog ears are minor and can be effectively corrected, allowing you to fully enjoy your enhanced abdominal contour.
