I would like another opinion about the wound that I have after breast reduction surgery, is cream enough to heal this? (Photos)

Question

I had a blood blister right after surgery. Four weeks post op this is what my breast looks like. My doctor is giving me a cream to remove the remaining scab and said will take 4 to 6 weeks to heal. This one seems very deep and I'm concerned looking for another opinion.

Praful Ramineni, MD · Answer

You appear to have some necrosis of the vertical limb on your breast reduction.  Your doctor is absolutely right (although the timing of healing is variable from patient to patient).  There are multiple creams that will work (Santyl, silvadene, etc).   It will likely lead a wider scar in that area that may need to be revised in the future.   Trying to reclose it at this time wouldl likely lead to it re-splitting.

Tom J. Pousti, MD · Answer

I am sorry to hear about the complication you are experiencing.  These types of complications can be quite distressing (understandably) to patients;  unfortunately, sometimes the wounds do look worse before they begin to look better.

Close follow up with your plastic surgeon will be in your best interests; sometimes removal of a exposed suture and/or removal of any unhealthy tissue will expedite healing.

Wound care regimens will differ from one plastic surgeon to another. Generally, this will involve application of some type of sterile dressing ( in my practice I use a non-stick dressing covered by a sterile dressing). You should have peace of mind that these types of wound healing problems generally go on to heal over the course of the next several weeks, often without long-term sequelae. Also important to concentrate on a healthy diet, including good protein source.  Sometimes (depending on the width of the open wound and the appearance of the scar in the longer term), scar revision surgery may be helpful down the line. Best wishes.

I would like another opinion about the wound that I have after breast reduction surgery, is cream enough to heal this? (Photos)

Answers (2)

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