BEFORE AND AFTER PHOTOS
SCHEDULE A CONSULTATION
I have occasionally treated a “dog ear” of either the upper (“proximal”) or lower (“distal”) end of the scar if the expected puckering does not settle down completely.
Like all scars, sometimes the scar spreads and this may be improved by revising the scar at a later date, when there is less tension on the wound.
An important sensory nerve (“medial antebrachial cutaneous nerve”) runs down the inside of the upper arm. It is important for the surgeon to avoid injuring this nerve, which might cause a painful neuroma. Typically, I resect the tissue more posteriorly, and only after anesthetic infiltration, which helps expand the subcutaneous plane, making nerve injury very unlikely.
Hematomas are unusual. The vessels are small and easily controlled with cautery. There is some compression from the tissue closure which helps to avoid a dead space. Drains are not routinely used.
This is a commonly reported complication. With limited ultrasound times and the avoidance of cutting cautery, this complication can be avoided.