I have an open wound where anchor T is from lift/implants. I'm 7.5 weeks post op. Will it heal on its own? (Photo)

Question

This area was stabbed over but the scab fell off. The area when I run my fingers over it over my sports bra feels like a hole. I'm concerned. My left boob healed normally, only this side is having issues. What should I do? Will this heal on its own? Should it have healed by now?

Brian C. Reuben, MD · Answer

Thank you for your question and photos.  Unfortunately this is the most common area to have a wound problem with the anchor type scar.  This will heal on it's own but I would have your surgeon keep close tabs on you and the progress of the wound as the implant can be at mild risk with any open wound on the breast.  Best wishes.

Vishnu Rumalla, MD · Answer

Thanks for your inquiry. Any wound on an incision where an implant may be near is a significant issue. Please make sure your plastic surgeon has examined your wound and devised a treatment plan.  Good Luck.

Jennifer Lauren Crawford, MD · Answer

When a breast lift and augmentation are done simultaneously, the skin is definitely stressed and the area most prone to some breakdown is at the base of the breast where incisions are coming together.  Sometimes it can take a couple of months before the wound stabilizes and the surrounding inflammation and swelling improves enough to allow true healing to occur.  Almost in every case, these wounds heal over on their own.  Your surgeon may have specific recommendations for dressings or wound care to help speed the process.  Once healed over, these areas are observed just as the other areas of incisions are observed for scar maturation.  Amazingly, often times these areas actually scar really well and once faded, don't look much different from the rest of the scar line.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

Since there has been a change in your post op course, please contact your surgeon so he/she can examine you and recommend most appropriate treatment plan at this time.

The best way to assess and give
true advice would be an in-person exam.

Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz

Sheila S. Nazarian, MD · Answer

This is not unusual but should be brought to the attention of your surgeon. Always best to err on the side of caution. My guess is that your bra is probably rubbing against this spot and irritating it. Make sure to cover the area with a gauze bandage before putting on your bra. That should help.

Robert Frank, MD · Answer

This is a frequent problem after both reduction and breast lift surgery. It rarely requires a revision and often closes on its own within a few weeks. One thing to be sure of is that your bra isn't rubbing on the incision. Patients are often numb over this area and, as a result, don't feel it when the bra is irritating the skin. You'll want to keep a gauze pad over the area until its healed. Good luck.

Naveen Setty, MD · Answer

Thanks for your questions and pictures.  Based on your pictures alone, your wound does not seem abnormal.  However, you should contact your surgeon and have follow up to ensure proper healing is occurring.  Wounds developing in the location yours has is not uncommon after this type of surgery.  It will likely heal on its own with time.

Francis Johns, MD · Answer

Thank you for your question.I would suggest contacting your surgeon and going in for a visit.  The area is more than likely healing fine, but there may be a dissolvable stitch that it irritating the area and preventing it from closing down.  Plus, anytime you have an open area over an implant it is best to play it safe and have someone look at it in person.  Good luck.

Sugene Kim, MD, FACS · Answer

Hi, tlk0209Thanks for your question and photos.Based on your photos, the wound seems to be healing with granulating tissue.  It does not look infected.With local wound care, it should heal soon.  Please follow up with your plastic surgeon so that he/she can monitor your progress and to make sure that you do not have an exposed suture.Best regards.

Wesley T. Myers, MD · Answer

Thank you for your question.Performing both a mastopexy and an augmentation at the same time does
increase the risk of complications inherent with the combined procedure. Wounds
in this area are common with this type of procedure. Be patient. I would make
an appointment with your plastic surgeon for an examination and to discuss your
convalescence as well as to address your concerns.

I have an open wound where anchor T is from lift/implants. I'm 7.5 weeks post op. Will it heal on its own? (Photo)

Answers (17)

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