My incision after breast implants and nipple reduction started to open after 4 weeks. I am being told to leave it alone and put neosporin and gauze on it yet it keeps getting worse. What should I do? My doctor is out of the country and he said I should wait until it heals on its own. I’m not sure if that is the right ting since it keeps getting worse
October 3, 2018
Answer: Open wound after areolar reduction Dear dbreitler,Thank you for your question. It is unfortunate that you've experienced this problem. In terms of wound healing you should wait now and let this wound close on its own, then you may have it revised after the scar matures (typically 8-9 months). The local wound care that your surgeon is recommending is adequate although I would recommend that you shower twice a day and then change the dressing. I would have you use Silvadene ointment on the wound instead of neosporin, but the neosporin is OK. You should see your surgeon weekly or no less than every other week to keep close tabs on your progress. Hope this helps & good luck.James Sheridan, MD
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October 3, 2018
Answer: Open wound after areolar reduction Dear dbreitler,Thank you for your question. It is unfortunate that you've experienced this problem. In terms of wound healing you should wait now and let this wound close on its own, then you may have it revised after the scar matures (typically 8-9 months). The local wound care that your surgeon is recommending is adequate although I would recommend that you shower twice a day and then change the dressing. I would have you use Silvadene ointment on the wound instead of neosporin, but the neosporin is OK. You should see your surgeon weekly or no less than every other week to keep close tabs on your progress. Hope this helps & good luck.James Sheridan, MD
Helpful 2 people found this helpful
October 3, 2018
Answer: Incision opening Hello,I am sorry for your delayed healing issues. It does not appear that there is an active infection or worse, so that's good. The problem is that for some reason you may be reacting to the sutures and their strength is gone, thereby allowing the incision to open. Unfortunately, there is not much to do, but on occasion, one might open it all up, clean the tissue and resuture with a different material.The best thing to do is stay in close contact with your PS so that it can be addressed timely.Best,
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October 3, 2018
Answer: Incision opening Hello,I am sorry for your delayed healing issues. It does not appear that there is an active infection or worse, so that's good. The problem is that for some reason you may be reacting to the sutures and their strength is gone, thereby allowing the incision to open. Unfortunately, there is not much to do, but on occasion, one might open it all up, clean the tissue and resuture with a different material.The best thing to do is stay in close contact with your PS so that it can be addressed timely.Best,
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