Breast reduction bleeding hole in the incision area, 6 months post op

Hello and thank you for your question! The story and photos you have provided is most consistent with a spitting suture/suture abscess. Sometimes the body's immune system doesn't like the long acting absorbable suture material of the sutures used under the skin and it tries to "spit it out" which will frequently look like a small pimple like opening with possible a small amount of inflammatory fluid or a drop of pus. This can happen anytime around several weeks to multiple months after surgery depending on the suture/patient's body. It is more annoying than a concerning complication. Sometimes your surgeon may see and clip the suture knot/tail if its extruding to help the healing process along. Keeping it clean and in a moisturized environment (antibiotic ointment or vaseline) is best for healing as it will take a little time to heal on its own from the bottom up and the sides in. Seeing your original surgeon for a in office physical exam would be the next best step with any additional concerns.

It looks like a reaction to stitches. Stitches will eventually dissolve and disappear. Please do not pull or scratch it and give it some time to heal. Good luck with your recovery.

Thank you for your question.
It may be a suture coming to the surface. Reach out to your surgeon to have him/her take a look.
Best wishes!

This is a common issue with breast reduction or other surgeries in which a high number of dissolvable sutures are utilized. These sutures are dissolved over time, and they create significant inflammation when they dissolve. Occasionally this will cause inflammatory changes in the skin that cause this type of reaction. This can happen even 6-12 months after your procedure. I would visit your treating surgeon or another board certified plastic surgeon to have the area examined and any remaining suture material removed.

This was likely caused from a deep suture that didn't dissolve quite right. Sometimes they work to the surface and force themselves out. Topical antibiotic/or plain aquaphor is adequate and it'll heal up in a few days to a week or so. Check in with your surgeon - depending on the suture there might be more to get out. Antibiotics are normally not necessary.
I wouldn't use a scar gel until it's completely healed over.

Hello,

Thank you for the question.

This may be related to the skin irritation from dissolving stitches underneath the scar, also known as stitch abscess.

Typically, this resolved on its own with massaging the area, allowing the pus to drain and applying topical antibiotic ointments. Sometimes, oral antibiotics may be needed.

I would recommend to obtain an in person consultation with your Plastic Surgeon specializing to further discuss your concerns, options and expectations.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

Dear Laurapaz2002, thanks for sharing your concern I suggest to get in touch with your doctor or his/her team and comment your issue follow the recomendations. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

This may be a result of a suture abscess. This can typically be addressed in your surgeon's office and they tend to heal well once the suture material is removed. Contact your surgeon for an evaluation and keep the area clean and covered until then.

Clean this area with peroxide and apply neosporin ointment. If it gets worse, please see your surgeon.

Most likely this is a permanent residual deep stitch that does not allow for healing. Best to have it exercised under local anesthesia. Expect me to range $800-$1000 under local anesthesia. Best of virtual consult with.