Join Us | Latest Articles | Contact

Journal Home

Editorial Board

Recent Articles

Submit to this journal

Special Issues

Current issue

Clinical Medical Image Library

Subcutaneous Scar Retraction Release after Breast Reduction Using Percutaneous Needle Cordotomy

T Wagner*, N Slater, M Hameeteman and D Ulrich

Department of Plastic and Reconstructive Surgery, Radboud University medical center Nijmegen, The Netherlands

*Corresponding author: T Wagner, Department of Plastic and Reconstructive Surgery, Radboud University medical center Nijmegen, The Netherlands, E-mail:
Clin Med Img Lib, CMIL-2-045, (Volume 2, Issue 6); ISSN: 2474-3682
Published Date: June 08, 2016
Citation: Wagner T, Slater N, Hameeteman M, Ulrich D (2016) Subcutaneous Scar Retraction Release after Breast Reduction Using Percutaneous Needle Cordotomy. Clin Med Img Lib 2:045.
Copyright: © 2016 Wagner T, et al. This is an open-access content distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Hypertrophic scarring with scar retraction is a well known problem in breast reduction mammaplasty with occasional unpleasant results for both the patient and surgeon. Even with many different therapeutic options, success can be limited in some cases [1]. We present a case with a simple solution similar to percutaneous needle fasciotomy [2,3].

A 41-year-old woman presented to our outpatient clinic for second opinion of painful bilateral subcutaneous scar retraction tissue. In 2008, she underwent bilateral reduction mammaplasty according to Wise. After consecutive wound dehiscence of the cranial parts of her vertical scar with secondary intention to heal she returned in 2009 for bilateral revision of the horizontal parts of her hypertrophic scars. On first presentation to our hospital five years later, she complained of a thick, painful fibrous subcutaneous cord with a mean diameter of 1 cm and a length of 6 cm which had developed spontaneously 6 months prior. She was in good physical condition with a history of mild hypertension, migraine, and smoking (8 cigarettes a day). She stated allergy against amoxicillin. After refusing local steroid injections or other invasive surgical options, we scheduled her at our operative outpatient clinic to test the use and to evaluate transcutaneous needle scar release. Using a 19 gauge needle, we percutaneously disrupted the cord at different levels until pliability was reached (Figure 1). Afterwards, we padded the area with regular dressings. The postoperative course was uneventful. At 2 weeks after surgery, there was a slight intracutaneous hematoma with subcutaneous swelling but no fibrous cord anymore (Figure 2). Three and a half months later, her left medial breast scar was soft whereas her right scar showed less improvement. We saw her back 3 months later for re-evaluation. At that time, she had no further subcutaneous scar retraction tissue on the left, but still in her right lower part of the breast with a length of 4 cm and width of 0.5 cm. A new subcutaneous scar retraction release using the same technique was performed under local anaesthesia. At 2, 6 and 12 months later, the patient presented for follow-up at our department without any signs of subcutaneous scar retraction and was satisfied with the result.


In patients with subcutaneous scar retraction problems, needle scar release without lipo filling is a promising option. The procedure creates minimal trauma, is cost-effective and can be performed under local anaesthesia.

Conflict of Interest



No funding has been received from any of the authors involved.

Patient Consent

Patient provided written consent for the use of their images.

International Journal of Anesthetics and Anesthesiology (ISSN: 2377-4630)
International Journal of Blood Research and Disorders   (ISSN: 2469-5696)
International Journal of Brain Disorders and Treatment (ISSN: 2469-5866)
International Journal of Cancer and Clinical Research (ISSN: 2378-3419)
International Journal of Clinical Cardiology (ISSN: 2469-5696)
Journal of Clinical Gastroenterology and Treatment (ISSN: 2469-584X)
Clinical Medical Reviews and Case Reports (ISSN: 2378-3656)
Journal of Dermatology Research and Therapy (ISSN: 2469-5750)
International Journal of Diabetes and Clinical Research (ISSN: 2377-3634)
Journal of Family Medicine and Disease Prevention (ISSN: 2469-5793)
Journal of Genetics and Genome Research (ISSN: 2378-3648)
Journal of Geriatric Medicine and Gerontology (ISSN: 2469-5858)
International Journal of Immunology and Immunotherapy (ISSN: 2378-3672)
International Journal of Medical Nano Research (ISSN: 2378-3664)
International Journal of Neurology and Neurotherapy (ISSN: 2378-3001)
International Archives of Nursing and Health Care (ISSN: 2469-5823)
International Journal of Ophthalmology and Clinical Research (ISSN: 2378-346X)
International Journal of Oral and Dental Health (ISSN: 2469-5734)
International Journal of Pathology and Clinical Research (ISSN: 2469-5807)
International Journal of Pediatric Research (ISSN: 2469-5769)
International Journal of Respiratory and Pulmonary Medicine (ISSN: 2378-3516)
Journal of Rheumatic Diseases and Treatment (ISSN: 2469-5726)
International Journal of Sports and Exercise Medicine (ISSN: 2469-5718)
International Journal of Stem Cell Research & Therapy (ISSN: 2469-570X)
International Journal of Surgery Research and Practice (ISSN: 2378-3397)
Trauma Cases and Reviews (ISSN: 2469-5777)
International Archives of Urology and Complications (ISSN: 2469-5742)
International Journal of Virology and AIDS (ISSN: 2469-567X)
More Journals

Contact Us

ClinMed International Library | Science Resource Online LLC
3511 Silverside Road, Suite 105, Wilmington, DE 19810, USA


Get Email alerts
Creative Commons License
Open Access
by ClinMed International Library is licensed under a Creative Commons Attribution 4.0 International License based on a work at
Copyright © 2017 ClinMed International Library. All Rights Reserved.