Dog-Ear Deformity After Facial Surgery: Causes and Solutions - Surgery

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Dog-ear deformity is a common concern following facial surgeries, particularly those involving skin excision and closure. This condition manifests as a localized bulge or excess skin at the ends of a surgical incision, resembling a dog's ear, hence the name. Understanding the causes and potential solutions for this deformity is crucial for patients seeking optimal aesthetic outcomes.


Causes of Dog-Ear Deformity
1. Tension on the Wound: When a surgical incision is made, the tension on the surrounding skin can lead to excess skin being left at the ends of the incision. This is particularly common in areas where the skin is pulled tight during closure.

2. Skin Elasticity: Individual variations in skin elasticity can also contribute to the development of dog-ears. Patients with less elastic skin may experience more pronounced deformities.

3. Surgical Technique: The technique used by the surgeon plays a significant role. If the incision is not properly planned or if the closure does not account for the natural contours of the face, dog-ears can occur.

4. Healing Process: As the body heals, the skin may retract or change shape, which can exacerbate the appearance of dog-ears.


Will Dog-Ear Deformity Resolve on Its Own?
In many cases, dog-ear deformities may improve over time as the swelling subsides and the skin continues to heal. However, whether they will completely disappear depends on several factors, including the extent of the deformity, the individual's healing process, and the surgical technique used.
1. Self-Resolution: If the dog-ear is mild, it may diminish as the swelling decreases and the skin settles into its new position. However, if the deformity is significant, it may not resolve completely without intervention.

2. Absorbable Sutures: If there are still absorbable sutures present, they may contribute to some swelling and firmness in the area. As these sutures dissolve, the skin may become less taut, potentially improving the appearance of the dog-ear.


Treatment Options
1. Scar Management: Using silicone gel sheets or topical treatments designed for scar management can help flatten and soften the appearance of the scar. These treatments may not eliminate the dog-ear but can improve the overall texture and appearance of the skin.

2. Surgical Revision: If the dog-ear persists and is bothersome, a minor surgical revision can be performed. This typically involves excising the excess skin and re-closing the incision in a way that minimizes tension and optimizes the contour.

3. Injectable Treatments: Some practitioners may recommend the use of fillers or other injectable treatments to help smooth out the area, although this is less common for dog-ears specifically.

4. Consultation with a Specialist: If you are concerned about the appearance of dog-ears, it is advisable to consult with your surgeon or a dermatologist specializing in scar management. They can provide personalized advice based on your specific situation.


Conclusion
In summary, dog-ear deformities can be a frustrating outcome of facial surgery, but they often improve with time. While some may resolve on their own, others may require intervention. It is essential to maintain open communication with your healthcare provider regarding your concerns and to explore the best options for achieving your desired aesthetic results. Remember, healing is a process, and patience is key as your body adjusts post-surgery.