Scars not healing and stitches opening, 7 weeks post breast lift, what should I do? (photos)

It looks like your having some wound issues probably due to dissolvable stitches, This will settle but best to keep in contact with your PS for advice re dressings / massage and scar management.

Thanks for the photos and question. While your surgeon has given you reassurance - which is nice to hear - I am always a bit worried about patients who have pinholes or delayed healing after implants. If no implants were used in your breast lift, I would be less concerned, as it is the risk to the foreign body being exposed or becoming infected that informs most of our concern when incisions look like this on the breast. Sometimes these holes are the result of dissolvable sutures becoming inflamed/infected or otherwise trying to work their way out. However, if you have an implant at the base of the hole, there is a concern about the implant being "exposed" to the outside world (even if you can't actually see the implant through the hole).  I usually don't advise my patients to use silicone gel, vitamin E, or other SCAR management techniques until the WOUND is closed. Make sure you have regular followup with the surgeon.