This is probably the most common revision in a tummy tuck, although it can also happen after a breast reduction. Basically, what it is, is where there is an excess of skin on one side of this incision compared to the other side. For example, in a tummy tuck, the upper incision is usually longer than the lower incision and we work it in as we as suturing, which causes the puckering that you sometimes see in early postoperative photos.
Most “dog ears” will settle by themselves, the skin is pretty amazing. But if they are still present at three or six months, then we can generally cut them out under local anesthetic in our procedure room. It’s a very straightforward procedure and is only really sore for a couple of days. We never charge patients out of pocket for that type of revision.