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

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