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

Question

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.

Michael Horn, MD · Answer

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.

Kenneth Hughes, MD · Answer

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

Ali Sajjadian, MD, FACS · Answer

Hi,

	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

Gregory Sexton, MD · Answer

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.

Vishnu Rumalla, MD · Answer

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

James F. Boynton, MD, FACS · Answer

You have a neomycin allergy from the neosporin most likely. Letting it dry out and using nothing at all is probably best. You can also try some 1% hydrocortisone cream, which will help most likely, especially if it itches. I would recommend seeing a dermatologist as well. This will get better.

Daniel P. Markmann, MD · Answer

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.

Norman Bakshandeh Day, MD, FACS · Answer

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.

Steven Wallach, MD · Answer

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.

Darryl J. Blinski, MD · Answer

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

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

Answers (13)

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