Benelli Lift and 550cc Gel Implants 4 Weeks Post Op, Incision Isn't Getting Better? (photo)

I am 4 weeks post op now and my left breast incision isn't getting better yet my PS says it will heal on its own. The incision just keeps getting deeper and wider... Please tell me if this is normal my right breat is healing very nice. Is there something my PS can do to stop it from getting worse? I am on three different antibiotics and have been for three weeks now.

Doctor Answers 13

Benelli Lift and 550cc Gel Implants 4 Weeks Post Op, Incision Isn't Getting Better?

Sorry to hear and see that you have had some difficulty after your procedure.  It appears that you have had some separation of the tissue on your breast.  With the skin tightening and the larger implant, some of the tissue did not tolerate that stress.  Work with your surgeon to do a lot of wound care to the area so your body can heal going forward.  Protect the area from any new stress or trauma as well.

Orange County Plastic Surgeon
5.0 out of 5 stars 8 reviews

400 Newport Center Drive
Newport Beach, CA 92660

Open wound

Sorry you are experiencing some post operative difficulties.  Believe it or not this will heal well on its own.  It takes time, but you will be fine.  I have to say however that I would be more comfortable with your surgeon being a little more aggressive with wound care and LESS aggressive with antibiotics!  They should be unnecessary with proper wound care.  Please talk to him/her.  

David Marcus, MD
Santa Rosa Plastic Surgeon
5.0 out of 5 stars 24 reviews

1128 Sonoma Ave
Santa Rosa, CA 95405

Open wound after Benelli breast lift will heal with good local wound care

Thank you for your question and photograph. I'm very sorry you are having this problem after breast augmentation and a Benelli breast lift.

As disturbing as this looks to you it will improve with time. The most important component of wound care is removing any dead tissue. Wet-to-dry dressings, and debridement by your surgeon will hopefully leave the base of the wound clean with bright red tissue that bleeds easily. New skin cells cannot grow over black, yellow, green or other colored tissue that is not healthy.

In time the skin should heal but you will have widened pink to white scars around the nipple areola eventually., After you have completely healed scar revision should be possible.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 65 reviews

195 Commonwealth Avenue
Boston, MA 02116

Wound healing

This is definitely not normal, as you can tell with the other side healing well.
Wounds breakdown for a reason, either an infection or dead tissue.

If the dead tissue is superficial, then local wound dressings will debride the wound and yes it will heal. But very slowly.

If the dead tissue is deeper, then you need a formal surgical debridement to remove the dead tissue. You don't want the implant to get infected.

If your wound is getting worse, rather than better. I suspect you have deeper tissue necrosis and will need surgical intervention.

Good luck

Pouria Moradi, MBBS, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 57 reviews

Suite 4 Level 6 75 Crown St Woolloomooloo
Sydney, NSW 2011

Benelli Lift and 550cc Gel Implants 4 Weeks Post Op, Incision Isn't Getting Better? (photo)

Unfortunately you have a wound edge necrosis with dehiscence. Local wound care is indicated and the healing by secondary intention and re epithialization take a few months. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 77 reviews

6330 Manor Lane
Miami, FL 33143

Benelli breakdown

Wounds such as yours will heal.  So keep doing your wound care and don't despair.  I hope your lift creates the result you wished for.  If your scars are much more than you anticipated, revisions can always be done at a later time.

Curtis Wong, MD
Redding Plastic Surgeon
5.0 out of 5 stars 22 reviews

1950 Rosaline Avenue
Redding, CA 96001

Incision Isn't Getting Better?

Although this may look more unpleasant than did the photo from two weeks ago, this is the process of healing after the complication you have had, which probably resulted from not enough blood supply to the tissues. Neither dissolving nor permanent sutures would have held this together, and even if they did, they would have buried non-viable tissue which would have been harmful. 

It may seem that sewing this back up would be the fastest way to fix this, but the chances of wound infection are so high that this is really hazardous, and is likely to fail, setting you back several weeks from recovery. 

Wound care is the appropriate treatment. Stay in close touch with your surgeon as this continues to heal. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.5 out of 5 stars 40 reviews

1110 112th Avenue NE
Bellevue, WA 98004

Benelli lift and healing

It looks like you had some wound separation and secondary healing. Once it has healed , the scar can be possibly revised a few months later.  Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

Open wound after breast lift

It appears that you have a wound separation around your areola due to necrosis (non viable tissue) of your soft tissues around the areola. The good news is that it seems that your nipple areolar complex is viable. Your plastic surgeon should manage this conservatively with wound dressings and antibiotics. The wounds should heal over time and any revision could be done at a later stage. The most important thing is to avoid an infection that can worsen the problem.


Good luck 

Tal T. Roudner, MD, FACS
Miami Plastic Surgeon
5.0 out of 5 stars 104 reviews

550 Biltmore Way
Miami, FL 33134

Incision Isn't Getting Better

Thank your the question and the photos. Judging from the pictures you are experiencing a wound disruption secondary to a disruption of blood flow to the tissues. It is important that you closely follow up with your plastic surgeon as with good local wound care this will heal, but will take time. After the wound has healed the scar may be wide and require revision. If the exposed tissues are allowed to desiccate or become infected there will be further tissue loss.

Again be patient and continue to follow up closely with your plastic surgery. This will heal. I hope this helps. Best of luck.

Pedro M. Soler, Jr., MD
Tampa Plastic Surgeon
5.0 out of 5 stars 22 reviews

4144 North Armenia Ave
Tampa, FL 33607

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.