If you’ve undergone breast reconstruction surgery—or are considering it—you may have heard the term “dog ears.” It might sound puzzling at first, but understanding what it means can help you feel more informed and confident in your recovery journey. Plastic surgeon Dr. Chet Nastala explains this concept in the video below, but let’s break it down together.
What are Post Operative “Dog Ears?”
In plastic surgery, “dog ears” is a common term surgeons use to describe a specific type of skin or tissue contouring issue that can happen after certain procedures. While the phrase might be unfamiliar, the concept is straightforward.
When skin or tissue is removed during surgery, the incision often starts with a circular or football-shaped pattern. Closing this shape into a straight line can sometimes cause puffiness or gathering at the ends of the incision. This minor unevenness is what’s referred to as a post-operative “dog ear.”
It’s a natural part of the healing process and a common occurrence after breast reconstruction or other procedures where skin is reshaped.
Are “Dog Ears” Permanent?
Surgeons can take steps to reduce or eliminate the appearance of “dog ears” after breast surgery. One procedure is to remove the protruding skin and tissue after the original wound is healed. This procedure increases the length of the incision and scar but reduces the bothersome pucker of skin and tissue.
For breast reconstruction patients, “dog ears” are typically addressed and reduced/removed during Stage 2 reconstruction (AKA breast revision surgery).
How are Post Operative “Dog Ears?” Removed?
Addressing “dog ears” is straightforward. Your surgeon removes the extra tissue to create a smoother, more contoured appearance. Depending on the extent of the revision, this adjustment is often done under local or general anesthesia. The procedure is quick, with minimal downtime, and ensures that your results look polished and refined.
Is a Dog-Ear Dangerous or a Major Problem to Worry About?
If you’ve noticed a “dog ear” after breast surgery, rest assured—it’s more of a cosmetic issue than a medical one. These small folds of excess skin at the edge of an incision are common and typically harmless, posing no risk to your health.
That said, if they’re causing discomfort or affecting how you feel about your results, it’s worth discussing with your surgeon. They can provide solutions tailored to your needs, often with a simple revision to refine your outcome.
Consult with an Expert Surgeon to Discuss Your Post-Operative Options
If you’re ready to address any concerns and take the next step in your journey, our San Antonio plastic surgeons are here to guide you. Contact us today to book a Virtual Consultation—our expert medical team will walk you through the process, answer your questions, and help you feel confident about the next phase of your recovery. Don’t wait—your best results are just a consultation away!
