Hole in Incision After Breast Lift/ Augment, How Bad is It? (photo)

Looks very superficial and not infected and located at the T junction where the skin has the most issues with wound healing, I would suggest soap/water twice a day along with an antibiotic cream like SSD

Thank you for the photo. While a proper exam would be better, it looks like some de epithelization at the junction of the vertical and horizontal incision.  This is a common place for this to happen as the incision is on tension.  What you are seeing is some vascularized granulation tissue (red/pink).  The epithelium will eventually march over this and seal the wound.  Please continue to see your board certified plastic surgeon.

It looks like you have a slow healing area in the T-zone following the breast lift.  You should see your surgeon frequently to monitor it, but it should heal without serious consequences. 

The odds are very good that with proper one care this wound will heal uneventfully. Because there is an implant nearby close attention needs to be paid until the wound is closed fearing contamination of the prosthesis.

Thanks for the photo.  It is not bad and should heal without any issues.   This a typical area that can open up with an "Anchor-type" breast lift incision.

Dr. ES