Hole on breast three weeks post op...is Hyperbaric oxygen an option? (Photo)
Doctor Answers 5
Hole In Breast Lift/Augmentation At 3 Weeks - Would Hyperbaric Oxygen Be The Best Treatment To Cure This Problem?
Congratulations on what appears to be an excellent standard breast lift/augmentation. It is not unusual to get breakdowns along the vertical suture line due to the great deal of tension present, especially when an implant is involved.
Hyperbaric oxygen, while a valuable tool, would not be the first and most useful technique to deal with your suture line separation. The problem is there is no way of knowing at this point if your wound is going to separate more leading to a true dehiscence, potential infection, and possible implant exposure, or if this is the full extent of the separation and therefore a very minimal problem.
If you were my patient, I would place stainless steel staples bringing the two edges of the separated incision closer together. The strength in the staple is in the horizontal bar above the wound. Unlike sutures, it does not strangulate the wound, and because of its strength, it keeps the wound from potentially separating to a greater extent. I have been using this technique for more than ten years with incredible results.
Topical treatment of this wound, I believe, doesn't address the potential forces that are pulling the edges apart. Hyperbaric oxygen also doesn't address the potential forces that are pulling this wound apart. If you were my patient, I would deal with the problem directly and use staples.
Hyperbaric oxygen an option?
Hyperbaric is overkill
I agree with Dr Wong. Your wound will heal well with simple wound care. You'll still get a nice result. Your plastic surgeon has the skills and training to assist you through this problem. You have carefully selected your care-team before your operation, and I’m sure they will skillfully guide you through this period. Hope this will help you.
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