Intertrigo 7 months post bilateral reduction - advice? (photos)

Question

I appear to have intertrigo (google research) I am now 7 months post bilateral reduction. This has been going on for as long as I can remember on both breasts. It’s hard to keep the area dry. It’s a bit raw and racked. I was told to use Jock itch and selsun blue but it doesn’t help. any advice? Thanks.

Daniel Barrett, MD · Answer

Dear adb2022,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit dermatologist for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Randal Haworth, MD, FACS · Answer

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BB L surgery complications.

Tatiana Basset
I had a bbL close to 3-4 years ago, and I had accidentally changed to a tighter faja too early but didn't know I was causing indentations. I had assume it was just the healing process but after they stayed permanent. I went to a doctor and was told I don't have enough fat to do a fat transfer what are some other ways to fix this? Thank you!

I'm sorry to hear that you're experiencing permanent indentations after your bbL surgery. Since a fat transfer is not an option, there are a few other options you can consider:

Sculptra: Sculptra is an injectable filler that stimulates collagen growth and can be used to fill in depressions or indentations in the skin.
Hyaluronic acid fillers: These are injectable fillers that can also be used to fill in indentations. Hyaluronic acid is a substance naturally found in the body, and the fillers are typically well-tolerated.
Surgical revision: In some cases, surgical revision may be necessary to correct the indentations. This can involve removing scar tissue or redistributing fat to improve the contour of the affected area.
Laser treatment: Laser treatments can help to smooth out the skin and reduce the appearance of indentations.
It's important to consult with a board-certified plastic surgeon who has experience in correcting bbL complications to determine the best treatment option for you. They can evaluate your specific situation and recommend the most appropriate course of action.

Tatiana Basset
Had lip and nasolabial line HA filler done. Woke up to this new vertical crease above my lip. We waited a month and then dissolved the filler, but after 3 months the crease remains. What caused this crease? Any idea how to make it go away?

I'm sorry to hear that you experienced a new crease above your lip after getting lip and nasolabial line fillers. It's possible that the crease was caused by the filler migration or a reaction to the filler itself. It's also possible that the crease was present before the filler injection, but was less noticeable.

Although dissolving the filler was a good first step, it's possible that the crease may not go away completely on its own. However, there are a few options you can consider to help improve the appearance of the crease:

Hyaluronic acid filler: If you are still interested in filler injections, a hyaluronic acid filler can be injected directly into the crease to fill it in and smooth it out.
Laser resurfacing: Laser resurfacing can be used to remove the top layers of skin and stimulate collagen production, which can help to improve the appearance of fine lines and creases.
Microneedling: Microneedling involves using small needles to create tiny punctures in the skin, which can stimulate collagen production and improve the texture of the skin.
Botox: Botox injections can be used to relax the muscles around the crease, which can help to reduce the appearance of the crease.
It's important to consult with a board-certified dermatologist or plastic surgeon who has experience with filler complications to determine the best treatment option for you. They can evaluate your specific situation and recommend the most appropriate course of action.

Tatiana Basset
Can someone please tell me what in earth might be wrong with my chest? First off my breasts are not symmetrical and one is high up and the other is just doing it own thing. And also what is with the hole where you can see my sternum? Can this be fixed? If so how?

It's difficult to give a definitive answer without a physical examination and medical history, but based on your description, it sounds like you may have a condition called pectus excavatum. Pectus excavatum is a congenital (present at birth) condition in which the sternum and rib cage grow abnormally, causing a depression or "sunken" appearance in the chest. This can sometimes result in asymmetry of the breasts, as you have described.

Pectus excavatum can sometimes cause respiratory or cardiovascular problems, but in many cases, it is simply a cosmetic concern. Treatment options for pectus excavatum depend on the severity of the condition and any associated symptoms. In mild cases, no treatment may be necessary. In more severe cases, surgery may be recommended to correct the appearance of the chest and improve any associated symptoms.

Breast asymmetry is common and can have a number of causes, including pectus excavatum, hormonal changes, weight changes, and genetics. Treatment options for breast asymmetry depend on the severity of the asymmetry and your personal preferences. Options may include breast augmentation, breast reduction, or breast lift surgery, as well as non-surgical options such as wearing a supportive bra or using padding.

It's important to consult with a board-certified plastic surgeon who has experience with pectus excavatum and breast asymmetry to determine the best treatment options for you. They can evaluate your specific situation and recommend the most appropriate course of action.

Tatiana Basset
Is it safe to get lip filler with broken capillaries near the lip? Or would I have to get them lasered first?

It's generally safe to get lip filler with broken capillaries near the lip, but it's important to note that the filler injections may cause additional trauma to the capillaries, which could worsen the broken capillaries.

If you have broken capillaries near your lips, it's a good idea to have them treated before getting lip filler. Laser treatment is a common and effective option for broken capillaries. The laser works by targeting the pigment in the blood vessels, causing them to collapse and be reabsorbed by the body. The treatment is minimally invasive and typically requires little to no downtime.

Before getting lip filler, it's important to discuss any concerns you have with your injector. They can evaluate the area and recommend any necessary treatments before the lip filler injection to help minimize the risk of complications. They can also advise you on the best timing for any additional treatments, such as laser treatment, based on your individual situation.

Overall, it's important to choose a qualified and experienced injector who is knowledgeable about the potential risks and complications of lip filler injections, as well as the appropriate treatment options for any pre-existing conditions such as broken capillaries.

Tatiana Basset
I really want to get work done on my columella as one side is slightly lower down than the other side, this results in my entire nose looking wonky and off centered and it’s something I’ve struggled with for a while now, I want to get the surgery once I’ve moved maybe in November, December? But I would just like to know if a septum piercing and two nostril piercings will ruin my chances of surgery and if I should wait until after the surgery?

If you're planning to get surgery on your columella to correct the asymmetry in your nose, it's generally recommended that you remove any facial piercings beforehand. This is because the piercings can interfere with the surgery and potentially increase the risk of complications. The piercings can also affect the healing process, causing the area to become more inflamed or infected.

For these reasons, it's typically recommended that you remove any facial piercings before undergoing any type of facial surgery, including rhinoplasty. It's best to discuss this with your surgeon during your consultation to get their specific recommendations based on your individual situation.

In general, it's a good idea to wait until after the surgery to have any facial piercings re-done. This will allow sufficient time for the area to heal and reduce the risk of complications. Your surgeon can advise you on the appropriate timing for re-piercing based on your individual situation and the type of piercing you're interested in.

It's important to remember that facial surgery, including rhinoplasty, is a significant decision that requires careful consideration and planning. Make sure to choose a qualified and experienced surgeon, discuss all your concerns and expectations, and carefully follow their post-operative instructions for the best possible outcome.

Tatiana Basset
I appear to have intertrigo (google research) I am now 7 months post bilateral reduction. This has been going on for as long as I can remember on both breasts. It’s hard to keep the area dry. It’s a bit raw and racked. I was told to use Jock itch and selsun blue but it doesn’t help. any advice? Thanks.

Intertrigo is a skin condition that occurs when two skin surfaces rub against each other, causing friction and inflammation. It can occur in any area where skin folds, such as the breasts, and is more common in areas that are warm and moist. In your case, it's possible that the intertrigo is related to the breast reduction surgery and the healing process.

Here are some tips that may help alleviate the symptoms of intertrigo:

Keep the affected area clean and dry. Use a gentle soap and warm water to clean the area, and pat it dry with a clean towel. Avoid using harsh soaps or scrubbing the area too hard.
Apply a topical cream or ointment to the affected area. You can try using an over-the-counter cream or ointment that contains zinc oxide or hydrocortisone, which can help reduce inflammation and soothe the skin. However, it's always a good idea to consult with your doctor before using any new medications or treatments.
Use a barrier cream or powder. Applying a barrier cream or powder to the affected area can help reduce friction and prevent further irritation. Products that contain zinc oxide, lanolin, or petrolatum may be helpful.
Wear loose-fitting clothing. Tight clothing can cause additional friction and irritation, so it's best to wear loose-fitting clothing that allows your skin to breathe.
Consider seeing a dermatologist. If the symptoms persist or worsen despite these measures, you may want to consider seeing a dermatologist for further evaluation and treatment.
In addition to these measures, it's important to maintain good hygiene and avoid factors that can worsen the condition, such as excessive sweating or prolonged exposure to moisture. Your doctor may also recommend additional treatments or medications, such as antibiotics or antifungal creams, if the intertrigo is caused by a bacterial or fungal infection.

Best of luck !

Connie Hiers, MD, FACS · Answer

Corn starch is safe to use in that area and can absorb the moisture. Don't use talc because it increases your risk for ovarian cancer.

James Knoetgen, III, MD · Answer

Intertrigo is a skin condition that occurs when skin folds rub against each other, causing irritation. Here are some tips in managing intertrigo after bilateral breast reduction surgery:1. Keep the area clean and dry: Gently clean the affected area with mild soap and water, and pat it dry. Keeping the skin dry can help prevent further irritation.2. Use barrier creams or powders: Applying a barrier cream or powder, like zinc oxide or an antifungal cream, can create a protective layer and reduce friction. 3. Wear breathable clothing: Choose loose-fitting, breathable fabrics like cotton to minimize friction and allow the skin to breathe.4. Avoid tight bras or underwire bras: Opt for supportive but comfortable bras without underwires to reduce pressure on the affected area.5. Stay hydrated: Proper hydration can help maintain skin health and reduce the risk of intertrigo.6. Maintain a healthy weight: If you’ve had a reduction to alleviate breast size, maintaining a healthy weight can help reduce excess skin folds.7. Consult your surgeon: If the intertrigo persists or worsens, it’s essential to seek professional medical advice for proper diagnosis and treatment.Always consult with your healthcare provider for guidance and treatment recommendations based on your specific situation.

Camille Cash, MD · Answer

I encourage you to visit with your surgeon or a dermatologist for an evaluation.  If you are not getting resolution from over the counter treatments there are prescription options available.

Shana Kalaria, MD · Answer

Hi yes there are medicated powders and creams such as nystatin ointment. There are also over the counter antifungals like lamisil that work great to fight the fungal overgrowth causing intertrigo. This could be an indication that you have excess skin still under your breast folds causing the rashes. You might want to get an evaluation by a board-certified plastic surgeon to evaluate you for possible repeat breast reduction/breast lift. Good luck!

Intertrigo 7 months post bilateral reduction - advice? (photos)

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