Bulge under arm after skin sparing mastectomy

Posted by rida @rida, Feb 16, 2023

I had skin sparing mastectomy with LD (latissimus dorsi flap)flap surgery.Muscle was flipped from back and brought forward for reconstruction of breast. Due to that muscle, a bulge is formed under my armpit and it's a quite big or may be I am not getting used to it as the area was flat before surgery.It's been a month and a half since I had my surgery.Also,the breast muscle feels very hard.I started physiotherapy almost after one month of surgery.And started massage few days back,once a day.
Anyone going through same problem?How much bulge reduced with the passage of time?What should be done to reduce it?

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I had a skin sparing masectomy, and have a bulge in my underarm area. It is called a, " dog ear". You can have them across your breast scar, as well. Women who have large breasts, and body fat will have more of a problem with this. My surgical nurse said I can get a breast reconstruction plastic surgeon to reduce the appearance. My dog ear is not that bad, so I am leaving it. But, there is help.

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@colely

I had a skin sparing masectomy, and have a bulge in my underarm area. It is called a, " dog ear". You can have them across your breast scar, as well. Women who have large breasts, and body fat will have more of a problem with this. My surgical nurse said I can get a breast reconstruction plastic surgeon to reduce the appearance. My dog ear is not that bad, so I am leaving it. But, there is help.

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I don't think that mine is a dog ear as it's neither fat nor skin.It's basically the muscle which has been brought forward from the back ,passing through my arm pit and then going into breast for reconstruction.I hope this muscle reduces with the passage of time

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I have the same thing. I thought it was because I’ve had four surgeries and it was scar tissue. It’s not very big but it looks strange. I always mean to ask but it gets put to the side with other more concerning issues. Thanks for the information @colely.

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Hi, just saw your post, I have this issue too and it is really annoying me. I had it done November 2023 and it seems like there are 2 ways to put in the muscle. One way can cause the buldge and the other way is more flat. I went to another hospital and the surgeon told me they usually place the muscle more to the front and it was done unusually so, i’m guessing the bulge way, he was not too impressed. He said that the implant had also moved slightly. So both surgeons in both hospitals have said they will move the implant but I want that bulge gone too as it’s annoying and in the cleavage area it has caved in due to the implant moving and the muscle not over far enough.. I’m hoping my insurance covers this as it is not my fault, the hospital hopefully will cover it as deformed and fix the bulge along with it.

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