Is Dark Purple Skin on the Scar Line Normal, Large Rope Like Scars, Drainage, Red Inflammation 12 Days Post Op? (photo)

Question

I am 12 days post op went from a G cup down to approx C/D cup. I seem to have a lot of excess skin that has form rope like scars, RN friends have said the sutures look sloppy. I also have dark purplish skin on the incision line (he said this is "UNHEALTHY" skin & just said to use antiobiotic ointment). Also I still have yellowish slightly greenish discharge from the left breast, none from the right but I do have red inflammation. Got antibiotic today over phone, Dr said come in 2 days.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Darryl J. Blinski, MD · Answer

Relying on that "RN friend" demonstrates someone with a little knowledge confusing the situation more. I wonder how many breast reductions your RN friend has done? You have bunching of the wound edges which could be very normal at this early time post operatively. The real issue is the possible cellulitis that needs medical attention not the wound edges!

Is Dark Purple Skin on the Scar Line Normal, Large Rope Like Scars, Drainage, Red Inflammation 12 Days Post Op? (photo)

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