Anchor Breast Lift Incision Separation. What To Expect After Debridement? (photo)

Thank you for your question and for sharing your experience with us.  You will find that every few days the wound will get smaller.  Once the wound closes, it will go through a great deal of remodelling and in many cases become very acceptable in appearance.  If there is a remaining indentation or widening of the scar that is unacceptable, then I would recommend waiting six months to year before undergoing any minor revision. It is important that you stay in touch with your surgeon throughout this process.

It’s not unusual for patients
to have wound healing problems following keyhole mastopexies.The problem typically occurs where the
vertical incision meets the transverse incision.This location is at risk for wound separation
for a variety of reasons.These include
poor blood supply to the skin flaps in this location, the downward force of the
breast tissue against the closure, and high levels of bacteria that occur in
the area of the inframammary fold.All
of these factors can contribute significantly to wound breakdown in this area.Once breakdown has occurred, wounds tend to heal by secondary
intention.Tissue tends to form a layer
of granulation and wounds contract.The
skin grows over the top of the granulation tissue.In the initial phases of healing, there may
be an intense inflammatory response that can make the wound look red and angry.For these reasons, these wounds should be monitored
closely.If infection appears,
antibiotics should be started immediately.In the interim, local wound care should be continued with dressing
changes.When this approach is taken,
wounds tend to heal nicely.Rarely scar
revision may be necessary as a secondary procedure.If you have questions or concerns about how
your wound is healing, it’s important that you discuss them with your plastic
surgeon.Your surgeon should be able to
address your concerns and alleviate your anxiety.

Thank you for the photo. What you are experiencing is not uncommon with breast lifts and reductions. The area is on tension, and that may effect wound healing. There may also be a spitting suture or some other issue. Suture or steri-strips is not what is needed at this point. Please continue to be seen by your board certified plastic surgeon, and tell him/her your concerns. Together, you will be able to come up with a plan.