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Preventing and Correcting Dog Ears After Tummy Tuck Surgery

If you’ve experienced the unwelcome surprise of ‘dog ears’ after a tummy tuck, know that you’re not alone and solutions are available.

Dog ears are small pockets of skin that can protrude at the ends of your surgical scar.

In this article, we explore effective strategies for preventing and correcting these imperfections. Whether you’re considering a corrective procedure or seeking ways to avoid this issue from the start, our comprehensive guide provides the insights you need to achieve a more seamless, satisfying tummy tuck outcome.

What is Tummy Tuck Dog Ears Issue?

The ‘dog ears’ issue in tummy tuck surgery refers to the small, puckered skin protrusions that form at the ends of the incision line. These occur when excess skin is not evenly distributed or trimmed during the procedure, resulting in a bunched-up appearance.

Dog ears can affect the smooth, contoured look desired from a tummy tuck, but they are correctable through minor surgical revisions that reshape the affected areas.

What Causes Dog Ears After Abdominoplasty Surgery?

Dog ears after abdominoplasty surgery typically occur due to insufficient removal of skin or uneven tension during the wound closure.

These protrusions at the ends of the incision arise when the skin’s natural elasticity pulls it into a puckered shape as it heals. They are more common in extensive tummy tucks where large amounts of skin are removed and the remaining skin must be stretched to close the incision.

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Role of excess skin and fat in forming dog ears

Excess skin and fat play a significant role in forming dog ears during a tummy tuck. When large amounts of skin and fat are removed, the remaining skin edges may not align smoothly, especially if not properly tailored. This mismatch can lead to puckering at the incision ends, creating the appearance of dog ears.

Why the incision line is crucial in preventing dog ears?

The incision line is crucial in preventing dog ears because its placement and length determine how skin is tightened and sewn together. Proper planning and execution of the incision ensure that skin is evenly distributed, reducing the risk of puckering at the ends.

A well-designed incision line helps achieve a smoother, more natural-looking contour of a tummy tuck scar.

The impact of skin elasticity, excess tissue and surgical techniques

Skin elasticity, excess tissue, and surgical techniques significantly impact the outcomes of a tummy tuck. High skin elasticity allows better contouring and reduces puckering. Removing the right amount of excess tissue ensures smoother results.

Additionally, advanced surgical techniques help distribute tension evenly along the incision, minimizing the risk of dog ears and promoting more aesthetically pleasing healing.

How to Prevent Dog Ears During a Tummy Tuck Procedure?

To prevent dog ears during a tummy tuck procedure, surgeons must carefully plan and execute the incision. They should ensure that the incision is long enough to remove adequate skin without excessive tension. Tailoring the skin removal to each patient’s body shape is crucial.

Additionally, during closure, surgeons can use precise techniques to distribute skin evenly and check for potential dog ears before completing the sutures. Proactive adjustments during a plastic surgery can significantly reduce the likelihood of this issue.

Strategic planning of the incision by a plastic surgeon

Strategic planning of the incision by a plastic surgeon is essential for minimizing complications like dog ears. The surgeon evaluates the patient’s unique body contours and skin elasticity to determine the best incision length and location.

This careful planning ensures even tension across the incision, promotes smoother healing, and results in a more aesthetically pleasing abdominal profile.

Importance of comprehensive body contouring assessment

A comprehensive body contouring assessment is crucial before a tummy tuck. It allows surgeons to understand the patient’s unique body shape, skin quality, and fat distribution.

This thorough evaluation helps tailor the surgical approach to meet specific needs, ensuring optimal removal of excess skin and fat while maintaining symmetry and achieving a natural, more aesthetically pleasing result.

Techniques to tighten skin without causing dog ears

Techniques to tighten skin without causing dog ears focus on precise handling and distribution of tissue. Here are effective methods:

  • Gradual Tapering: Extending the incision slightly to smoothly taper off the skin.
  • Proper Suturing: Employing advanced suturing techniques to distribute tension evenly.
  • Intraoperative Assessment: Continuously assessing the skin during surgery to make real-time adjustments.
  • Anchor Stitching: Using strategic stitches to anchor points and prevent puckering.

Correcting Dog Ears After Tummy Tuck: Revision Surgery Insights

Correcting dog ears after a tummy tuck often involves abdominoplasty revision surgery. This targeted procedure adjusts the original incisions to smooth out the puckered skin at the ends. Surgeons carefully remove any excess skin and reposition the remaining skin to ensure a more natural, contoured appearance.

Successful correction relies on precise surgical techniques and a thorough understanding of the patient’s skin elasticity and body contour. Revision surgery can significantly enhance the overall aesthetics of the tummy tuck results.

When to consider revision surgery for dog ears correction?

Consider revision surgery for dog ears correction when the initial tummy tuck has fully healed and the scars have matured, typically after six months. If the dog ears remain prominent and affect the contour or your satisfaction with the surgical outcome, revision may be necessary.

Always consult with a plastic surgeon to evaluate the severity and discuss the best options for correction.

What a minor procedure for dog ears revision involves?

A minor procedure for dog ears revision typically involves local anesthesia. The surgeon makes small incisions to remove the excess skin causing the dog ears. They then carefully reshape and reposition the remaining skin to create a smoother, more natural contour. The procedure is relatively quick, and sutures are used to close the incisions, ensuring a fine, less noticeable scar.

Recovery and expectations from a dog ear revision procedure

Recovery from a dog ear revision procedure is usually swift, with most patients resuming normal activities within a few days. Expect some mild discomfort and swelling, which can be managed with prescribed medications.

It’s crucial to follow the surgeon’s aftercare instructions to ensure optimal healing. The revised scars typically improve and fade over several months.

While immediate improvements are noticeable, the final results of the contour and scar appearance may take up to a year to fully stabilize.

The Role of Liposuction in Managing Dog Ears After Tummy Tuck

Liposuction plays a significant role in managing dog ears after a tummy tuck. It helps by precisely removing small pockets of fat near the incision ends, smoothing out the area.

This technique ensures a more uniform transition between treated and untreated areas, enhancing the overall contour and reducing the likelihood of dog ears reappearing, leading to a more aesthetically pleasing result.

Combining liposuction with tummy tuck for optimal results

Combining liposuction with a tummy tuck often yields optimal results. Liposuction removes excess fat from targeted areas, while the tummy tuck tightens loose skin and muscles. This dual approach enhances body contouring, providing a more defined abdominal profile and smoother silhouette.

Such integration ensures a comprehensive aesthetic improvement, addressing both skin laxity and fat distribution effectively.

How liposuction addresses excess fat contributing to dog ears?

Liposuction addresses excess fat contributing to dog ears by directly removing fat deposits from the areas near the tummy tuck incisions. This targeted fat removal prevents the formation of skin puckering at the ends of the scar. As a result, the skin lies flatter and more evenly, reducing the likelihood of dog ears and enhancing the surgical outcome.

Dog Ear Revision Surgery Cost

Dog ear revision surgery cost varies based on the extent of the procedure, surgeon’s expertise, and location. It generally costs less than primary tummy tuck surgeries as it involves smaller corrections.

Comparison Chart of Dog Ear Revision Surgery Cost:

CountryAverage Cost (in Euros)
Turkey€500 – €1,500
UK€1,000 – €2,500
France€900 – €2,000
Germany€1,000 – €2,500
USA€1,500 – €3,000


These prices are indicative and can vary based on specific circumstances and additional treatment needs.

Risks and Complications

Dog ear revision surgery carries some risks and complications, just like any surgical procedure. These can include infection, bleeding, and reactions to anesthesia. There is also a possibility of further scarring or asymmetry in the area.

Proper post-operative care and choosing an experienced surgeon can help minimize these risks and ensure a smoother recovery and more satisfactory outcomes.

Frequently Asked Questions

How do you correct dog ears after tummy tuck?

To correct dog ears after a tummy tuck, a surgeon performs a minor revision surgery. They make small incisions to remove the excess skin, then neatly suture the area to smooth out the contour. This results in a more natural and aesthetically pleasing appearance.

What is dog ear revision surgery?

Dog ear revision surgery is a minor corrective procedure to remove or smooth out puckered skin at the ends of a surgical scar, typically after a tummy tuck. The surgeon reshapes the area for a more seamless and aesthetically pleasing appearance.

Do dog ear scars go away?

Dog ear scars do not completely go away on their own but can significantly improve over time. Treatment options like revision surgery or non-surgical methods such as laser therapy and silicone sheets can further reduce their appearance, making them less noticeable.

What is the recovery time for dog ear correction surgery?

The recovery time for dog ear correction surgery is typically brief. Most patients can return to normal activities within a few days. Full healing and final results can be seen within a few weeks, depending on the individual’s health and the care followed post-surgery.

How do surgeons remove dog ears?

Surgeons remove dog ears by making small incisions at the ends of the existing tummy tuck scar. They carefully excise the excess skin and then reposition and suture the remaining skin to create a smoother, more aesthetically pleasing contour.

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Author:

Prof. Dr. Ethem Güneren
Plastic Reconstructive and Aesthetic Surgery

Prof. Dr. Ethem Güneren graduated from Istanbul University’s Faculty of Medicine in 1987. In 2003, he became one of the first Turkish surgeons to become a member of the European Board of Plastic Surgeons (EBOPRAS). More recently, in 2017, Dr. Güneren also joined the American Association of Plastic Surgeons. With more than 25 years of experienced, he is one of the most widely recognized and certified surgeons in the country.

Read More

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