2 weeks PO. I've noticed the skin has started peeling around the T incision. Is this normal? (photos)

Question

I’ve been using bacitracin and non stick gauze sponges, should I continue doing so?

Kenneth Hughes, MD · Answer

Peeling is normal.  I usually do not cover the incisions. Recommend that you keep the area dry and use no ointments.  Every surgeon has different post op care instructions, so follow those provided by your PS. This will heal on its own with time.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Donovan Rosas, MD · Answer

The "T" point is an area common for delayed healing. It is a vascular water shed (i.e. relatively diminished blood supply where 3 flaps meet) under high tension.Patients will typically exhibit some degree of dehiscence (separation) and epidermolysis (sloughing of the upper layers of skin). With some local wound care, these will typically heal secondarily without further intervention.As always, discuss your concerns with a board certified plastic surgeon (ABPS)Donovan Rosas MDBoard Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons
Real Top 100RealSelf Hall of Fame

James D. Frost, MD · Answer

It is very common to have some peeling of skin in these areas.  Peeling of the top layers of skin will result in the pink color you see.  This color will likely return with time.  But I don't see any open wound.  I do not see an indication for Bacitracin or non-stick gauze.  Actually you may do some harm with those combined as you will keep the area too moist as if you soaked in the tub too long.  Speak with your surgeon for more personalized directions but I would just keep some dry gauze in your bra and maybe some body lotion over the healed scar.

Daniel Barrett, MD · Answer

Dear Js601,
I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. Based on your photos, it looks like some skin is peeling and there is no wound separation. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Matthew A. DelMauro, MD, FACS · Answer

Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) I'm sorry to hear about the trouble you have had after surgery. Wound healing complications are not uncommon after breast reduction surgery. There are many risk factors for wound healing complications; not knowing your history makes it difficult to identify your risk factors. Local wound care is the treatment. You should follow up closely with your plastic surgeon. Best of luck!
Matthew A. DelMauro, M.D.

2 weeks PO. I've noticed the skin has started peeling around the T incision. Is this normal? (photos)

Answers (10)

Answer: Incision healing

Answer: Incision healing

Answer: Breast Reduction

Answer: Breast Reduction

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2 weeks PO. I've noticed the skin has started peeling around the T incision. Is this normal? (photos)

Answers (10)

Answer: Incision healing

Answer: Incision healing

Answer: Breast Reduction

Answer: Breast Reduction

Browse related questions

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.