Incision Not Healing 4 Weeks Post Op After Breast Lift with Augmentation, What To Do?

Three weeks Post-Op I noticed light yellow spots in my bra coming from the juncture of my lollipop incision at the bottom. Now at 4 weeks Post-Op My bra irritates the spot and it continues to drain it. The tape in this area was loose because of the wetness. Today I removed the tape and placed a bit of antibiotic ointment on it and covered it with a bandage. This spot is approximately 3-5mm in size. Is this something that will resolve itself? My PS is in another state and it is a holiday weekend.

Doctor Answers 7

Drainage 1 month after a mastopexy is uncommon but does occur. See your surgeon.

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Wound issues are dealt with by surgeons commonly.  Most of the time they resolve with minor skin care.  With an implant, the possibility of an open wound serving as a port for bacteria makes the condition more precarious.  You should see your surgeon to make sure the wound problem is superficial and does not involve the implant.

Incision Not Healing after Breast Augmentation/Mastopexy?

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Thank you for the question.
Unfortunately,  incision line healing issues do occur after breast augmentation/mastopexy surgery. Most of the time these go on to heal without any further intervention necessary. The reason why ( as plastic surgeons)  we are concerned is that there is an underlying implant in place and their existing potential for implant exposure and/or infection.
Even though you are out-of-state, I would suggest that you communicate with your plastic surgeon (for example e-mail pictures to him/her).  He/she will be able to provide specific guidance.
Until you do so, your management seems appropriate ( keep the area covered with nonstick sterile dressings and prevent contamination).
Best wishes.

4 weeks post op

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Thank you for the question.  The situation you're in right now needs your surgeon's attention.  Although this is not uncommon, but this open incision could possibly lead to an infection if not treated right away. It would be best to visit your board-certified plastic surgeon and get your concern checked. Best of luck. Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 122 reviews

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Unfortunately, without a complete history and physical exam and through pre operative photography there is not enough information to make an informed plan, please consult your surgeon or another local board certified plastic surgeon

Incision and healing

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Without an exam it is difficult to say but with drainage for 3-4 weeks that is a bit worrisome especially with an implant. You should follow closely with your surgeon.  

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Breast Augmentation - Incision Not Healing 4 Weeks Post Op After Breast Lift with Augmentation

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It's actually pretty common to have issues like this with this procedure (breast lift with implants) which, as has been regularly noted, is one of the more complicated and potentially risky procedures.  Having a spot at that site that is oozing small amounts of liquid is most likely a small issue.

However, you absolutely cannot take that for granted and leave it unassessed.  You need to contact your PS and have him or her look at it, and at the way your breasts are healing.  There will probably not be much to do aside from continued local wound care and monitoring your recovery.  But that's a decision that should be made by your surgeon, not an online forum.

I hope that this helps, and good luck,

Dr. E

Drainage from incision

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I would recommend you get the incision checked by a plastic surgeon. It may be a minor issue, just needing hydrogen peroxide and antibiotic ointment and will heal quickly. but when an implant is underneath the incision I recommend getting the wound checked promptly to rule out a problem that may end up involving the implant. see your surgeon or a surgeon, don't postpone the visit.

Rick Rosen, MD
Norwalk Plastic Surgeon
4.8 out of 5 stars 28 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.