Incision Looks Infected 3 Weeks After Breast Lift- Opinion? (photo)

Incision healing is complicated with Breast Lift. Sometimes there will be wound healing challenges where the incisions meet in the middle and at the crease along that incision. Three weeks out, whatever might be destined to not heal will reveal itself. It is hard to tell from the photos whether there is infection because the lighting is ? If there is redness, tenderness and drainage it is likely the wound is infected. If there is no drainage and just the white tissue that demonstrates compromised healing, but with medical care will do well. Typically the white tissue will be cleaned off to allow the pink tissue to heal and come together, typically with daily washing and application of a topical ointment - vaseline, aquaphor, medihoney or an antibiotic. If you cannot access your surgeon an Urgent Care of ER would be the best option.Best of luck to you!

It’s hard to know if your
wound is infected or if the redness that you note is related to inflammation
that is frequently associated with the healing process.This differentiation is extremely important
and cannot be made without a physical examination or a more detailed
history.It’s not unusual for patients to have wound healing problems
following keyhole mastopexies.The
problem typically occurs where the vertical incision meets the transverse
incision.This location is at risk for
wound separation for a variety of reasons.These include poor blood supply to the skin flaps in this location, the
downward force of the breast tissue against the closure, and high levels of
bacteria that occur in the area of the inframammary fold.All of these factors can contribute
significantly to wound breakdown in this area.Once wound breakdown has occurred, wounds tend to heal by
a process known as secondary intention.As the wound heals, there’s usually an intense inflammatory response
that can make the wound look red and angry.The appearance of a wound healing by secondary intention can often be
confused with infection.For these reasons, these wounds should be monitored
closely.If infection appears,
antibiotics should be started immediately.In the interim, local wound care should be continued with dressing
changes.When this approach is taken,
wounds tend to heal nicely.Rarely scar
revision may be necessary as a secondary procedure.

Thank you for the photo. What you are experiencing is not uncommon with breast lifts and reductions. The area is on tension, and that may effect wound healing. There may also be a spitting suture or some other issue. Please continue to be seen by your board certified plastic surgeon, and tell him/her your concerns. Together, you should be able to come up with a plan.