Deepak K. Naidu, MD

In my opinion a minimum invasive facial to help stimulate collagen would be micro-needling. After applying numbing cream, a licensed aesthetician passes a pen with micro-fine needles over the face to create microscopic channels. The reaction to the body from the punctures help stimulate growth factors that increase collagen and elastin deposition. You should look into it!

Yes, you could get a glycolic peel with blackheads. It would actually help remove a layer of the skin to make it easier for the aesthetician to extract those blackheads.

Thank you for your question.  You seem to be doing very well in your recovery, with only a very small area where the skin has not completely closed.  Based on your photos, this should heal with the wound care program you are currently following.  A Band-Aid may be more convenient to dress the area, in case you are concerned about protecting your clothing.  Good luck, your incisions will continue to improve in appearance over the next several months! 

Thank you for your question.  This is not an uncommon occurrence after brachioplasty, as there is constant motion with your arms and upper body, which places tension on the skin incisions as they are healing.  Based on your photos, your wound looks clean with healthy pink tissue, which will gradually shrink the wound over time.  The white layer is most likely a protein exudate from the open surface area.  You appear to be doing well with wound care with soap and water, but your plastic surgeon may have additional recommendations to try antibacterial creams or ointments as well.  Good luck! 

Thank you for your question.  Patients tend to heal at different rates, and other issues such as tobacco use/smoking and other wound healing conditions may be slowing down your recovery.  Also, the symptoms you are described may also depend on the type of sutures used to close your incisions.  Drainage can also be a sign of a fluid collection or 'seroma' that can form after the surgery, even with the skin incisions completely healed.  Please discuss your concerns with your plastic surgeon at your next follow up visit.  Good luck!