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Is There Anyway to Predict if Someone Will Have Dog Ears Before a TT?

In our East Bay practice we frequently perform abdominoplasty. The biggest factor causing dog ears (think triangles of extra tissue at the ends of the incision that stick out somewhat) is performing abdominoplasty in people that are a bit overweight. Techniques like liposuctuon or extending the scar can be used to avoid this in patients that are a bit heavy.

Clinical Context

Dog ears are more likely when there's extra fat or skin beyond where the incision reaches, especially at the hips or flanks. Your surgeon can often anticipate this during your preoperative exam by assessing how much tissue sits outside the planned incision line while you're standing. If significant fullness is present, options like extending the incision slightly or adding liposuction to blend the area can be planned ahead of time, rather than needing a separate revision later.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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