2 Months Post Op BA with Allergic Reaction to Neosporin, Thick Rash Around Scar? (photo)

I started neosporin on post op day 6 and continued to use for 1 week until it was confirmed that I was having an allergic reaction to it. I stopped and took an oral steroid for a few days. I started scar away (silicon sheets) at 2 weeks post op. The rash seems to disappear some days and then get really bad like now. At this point i am wondering if i should just completely stop using everything and just let my skin work the issues out of its own or if I should seek the help of a dermatologist.

Doctor Answers 13


yes i agree!! stop every thing and let the skin breathe. The neosporin causes more problems than good and I dont believe the silicone is of any value.

New York Plastic Surgeon
4.9 out of 5 stars 14 reviews

Rash After Breast Augmentation

Ouch, that looks itchy! Do not put the silicon sheets or ointment on the area. Use over the counter hydrocortisone cream and take zyrtec or allegra, and benadyl at night.It will take some time to get better, but it will.

Michael Horn, MD
Chicago Plastic Surgeon
4.3 out of 5 stars 58 reviews

Scar rash

I would stop the silicone sheeting, please ask your surgeon if he would be okay with starting some hydrocortisone cream, not ointment. 

Vishnu Rumalla, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 201 reviews

Rash Around Scar After Breast Augmentation

     The best advice is to discontinue the use of everything applied to the area and see a dermatologist.  Kenneth Hughes, MD breast augmentation Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Allergic Reaction

Stop everything for now. It looks like a contact dermatitis. See your plastic surgeon for recommendations and frequent visits until it is better. I think your surgeon should be able to treat this without you needing to see a dermatologist. You may need a prescription strength steroid cream and an oral medication to help with the itching. Best of luck and it will get better.

Daniel P. Markmann, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 114 reviews

Neomycin Allergic Reaction After Breast Augmentation


Thank you for sharing a high res photo.

As you have stated, the allergic reaction to neomycin (neosporin) is prominent.

At this point, I believe that it is beneficial to stop using ointments and silicone sheets covering the scar (to prevent the development of a severe contact dermatitis).

I advise you to seek the consult of your surgeon and possibly a dermatologist as you may be needing a different treatment based on an examination.

I hope this helps and please feel free to check the website below.

Thank you for your inquiry and the best of luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 197 reviews


Stop the sheets for now, and see a dermatologist. Although it will probably clear up on its own, I think seeing a dermatologist may make you more comfortable.

Gregory Sexton, MD
Columbia Plastic Surgeon
4.9 out of 5 stars 73 reviews

Contact dermatitis

You are probably best to leave it open without putting the silicone sheet on it.  I would suggest seeing a dermatologist to be properly evaluated.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

2 Months Post Op BA with Allergic Reaction to Neosporin, Thick Rash Around Scar?

Yes stop everything and seek evaluation with a term. You appear to have a severe contact dermatitis. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Rash post-op from Ointment? What should I do?

I agree, stop using all ointment, start over the counter 1% Hydrocortisone and f/u with your PS and discuss your options with him, good luck.

Jonathan Weiler, MD
Baton Rouge Plastic Surgeon
4.9 out of 5 stars 87 reviews

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.