Is a Skin Graft Necessary for a Breast Reduction Gone Wrong? (photo)

Just an unfortunate complication of a breast reduction.  The blood supply to the breast is very predictable at the base of the breast but as you move out toward the end of the breast it is more and more random.  Your early blistering was the first sign of vascular compromise.  At this point there is no way to speed up the process.  Treat with Silvadene cream, allow it to heal then may need a revision in the future. 

First you can not be too active as a lot of movement will further open the wound.  Second you should put silvadene and not bactroban on the open wound.  Do not let the open areas dry out as dessication will further deepen the wound.  With time the wound will contract and the defect will become smaller.  Looking at the size of the defect this may take up to three months of Silvadene usage.  If you smoke then stop.  Your other scars look hypertrophic.  The use of the scar dressing Embrace will remove some tension of the breast reduction scars on the left breast and this may help the quality of your scars down the line.  Eventually after the wound closes you will need a scar revision.