Breast reduction - wound dehiscence - will I need a scar revision? (Photo)

First, you and your plastic surgeon need to manage these wounds. You have good granulation tissue and it might be a good time soon to return to surgery and close the incisions. This is the best approach to reduce unwanted scarring. After 6 to 12 months, you will return to your surgeon to re-evaluated your scars and you may or may not need revision. Best wishes, Dr. Aldo

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.

Best,
Dr. Karamanoukian
Realself100 Surgeon

I'm sorry you had this set back, however as your wounds heal, you will notice the width of the opening becoming much narrower, so the final scar will be much narrower than what you presently see.  I would favor allowing the wounds to fully heal with good wound care and allowing the final scars to mature and relax for several months.  At that time you may consider having the scars revised to achieve the best possible appearance.  Best wishes.