Dog Ears After a Tummy Tuck

A "dog ear" is a common term used in cosmetic surgery to describe a small, puckered area of skin or tissue that can sometimes develop after a tummy tuck (abdominoplasty). While the overall results of a tummy tuck are usually smooth and contoured, dog ears can appear at the ends of the surgical incision, typically near the hips.

What Causes Dog Ears After a Tummy Tuck?

Dog ears usually result from the skin tightening and reshaping during the tummy tuck procedure. The surgeon removes excess skin and fat, and when pulling the skin tight, the edges of the incision may fold or bunch up, creating the dog ear effect. Several factors can contribute to their development, including:

• Skin Elasticity: Poor skin elasticity can make it difficult for the skin to adjust smoothly after the procedure.
• Amount of Fat or Skin Removed: Large amounts of fat and skin removal can lead to uneven tension along the incision, increasing the risk of dog ears.
• Body Shape: A patient’s natural body shape and how skin contours around the hips can affect whether dog ears develop.

How Are Dog Ears Corrected?

Dog ears are usually minor and can be corrected easily through a small revision surgery. This procedure is typically less invasive than the original tummy tuck, requiring a local anesthetic rather than general anesthesia. During the revision, the surgeon removes the excess skin or tissue, smoothing out the area to improve the final contour. The recovery from this revision is often quick, with minimal downtime compared to the initial surgery.

Preventing Dog Ears

An experienced plastic surgeon can help minimize the risk of dog ears by carefully planning the incision and adjusting the tension in the skin. Additionally, liposuction may be used around the edges of the incision to create a smoother, more even contour.

Is It Normal to Get Dog Ears?

Yes, dog ears are a common side effect after tummy tuck surgery. While they can be frustrating, they are generally considered a minor issue and are usually easy to fix. Most patients are still delighted with their tummy tuck results even if dog ears develop.

When to Seek a Revision?

If you notice a dog ear forming after your tummy tuck, it’s best to wait until the healing process is complete (typically six months or more) before considering a revision. This gives the body time to settle and the final results of the surgery to become more apparent. Consult with your surgeon to determine the best time for a revision, if necessary.

In conclusion, while dog ears can be a minor aesthetic issue after a tummy tuck, they are typically easy to correct and don’t impact the overall success of the procedure. Discuss any concerns with your surgeon to ensure you are happy with your final results.