I had a bilateral mastectomy almost 5 months ago and incision still hasn't healed! Should I get a second opinion?
Doctor Answers 5
Post mastectomy nonhealing wound.
I am sorry you are having issues with your surgical site. I am concerned with your wound. Certain risk factors including, smoking, radiation, age, diabetes, autoimmune etc can exacerbate healing issues but whatever the cause, this needs to be addressed. Any compromise in the wound can lead to infection of the underlying implant which can lead to loss of the implant completely. I would speak to your plastic surgeon but if you do not get a satisfactory answer, get a second opinion. Reexcision of the wound, and wash out of the implant with antibiotic solution may be indicated. If the skin is ischemic, that is, has insufficient blood supply to heal, hyperbaric oxygen therapy may be useful as well. If you have drainage, immediate action must be taken to prevent worsening infection. IF you had a mastectomy without implant reconstruction, the risk is less concerning and secondary healing of an open wound may be sufficient using gauze, vacuum or other dressings. Good luck and take care
Poor wound healing after Mastectomy surgery
If there is artificial material present, Im concerned about inflammation/comtamination of expanders or implants. I would also be worried about removing implants or expanders and simply replacing them if there has been prolonged seroma fluid present or a wound that has opened repeatedly. I would also want to know if there was prior radiation exposure or skin death/poor healing around the time of the initial surgery. If any of these answers are "yes" then changing direction towards using tissue instead of implant based reconstruction may need to be discussed if that is what is planned with your team at this point.
Bilateral mastectomy and incision problems
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