Pinhole and seroma. Is my wound going to heal? (Photo)

Question

Has passed 4 months after my lift-augmentation. The wound didn't close because of seroma. Now the seroma has stopped and after blood, swab, culture test there is no sign of infection. I have seen 3 different plastic surgeons and they ask me to wait and they are controlling the wound with antibiotics and Silver dressing sponge. Im so anxious. No fever, no pain, no pus, no blood, it doesnt stink.

Daniel Barrett, MD · Answer

Dear MonzeRivadeneyra,
This type of wound is not uncommon after breast lift. It is usually caused by spitting suture. I would suggest you to consult your plastic surgeon, follow your surgeon's instructions and keep your wound clean and covered. It can take few weeks or months for wound to fully heal. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Anthony Barabas, MBBS, FRCS (Plast) · Answer

Thanks for the question. If it is a small hole, not leaking, proven not to have infection and with good quality surrounding skin as it appears in the photo, then I would certainly consider exploring and excising the hole (sinus) under local anaesthetic. Best wishes,

Lyndsey Highton, BMBCh, MA, FRCS(Plast) · Answer

Continue to see your surgeon regularly. If the wound is healing it is reasonable to continue with the plan. However, if static after a number of months it may be beneficial to debride and close the wound.

Leonard Tachmes, MD · Answer

Hi and welcome to our forum!
Delayed healing after breast augmentation and lift is not uncommon. It can be caused by poor blood supply, infection, or fluid collection (such as seroma). 
Cultures have proven negative and the seroma has abated. 
If there signs of continuing improvement with conservative care and if there is no implant exposure, I would continue conservatism. If the situation has become static, one may consider debridement and secondary closure although it carries a risk of infection. If the implant is exposed, it may require temporary removal / later replacement.
Continue close followup care with your plastic surgeon.
Best wishes...

Camille Cash, MD · Answer

I'm sorry that you are experiencing these issues after your breast augmentation.  You are doing the right things by following proper wound care and keeping in touch with your surgeon.  These wounds can heal slowly, but with proper treatment they should heal completely.  I encourage you to continue to follow the advice of your surgeon and report any changes.

BREAST AUGMENTATION PROVIDERS NEAR YOU

Pinhole and seroma. Is my wound going to heal? (Photo)

Answers (5)

BREAST AUGMENTATION PROVIDERS NEAR YOU