BBL 2 1/2 weeks post op and stitches gone with open wound. Any advice on this situation?

Question

I've gotten a BBL on Nov. 21, 2014, and the Dr. Made an incision between my cheeks. As of a few days ago from today (12/7/14) the stitches have either fallen off or desolved, leaving an open hole in between my cheeks. Since the location of where it is, it can't seem to heal, I've done my part as to clean it with hydrogen peroxide and applying neosporin, testing it like any other open wound. From my personal experience, it seems the wound isn't healing. Is there any advice on this situation? TY

Joel Patrick Maier, MD · Answer

If you had fat injection and a small
lipo hole is open, it is probably not a big deal and will heal with some local
wound care relatively quick (10-14 days). However, you definitely should see
your surgeon ASAP to make sure nothing more serious is going on . . .

Shayne Webb, MD · Answer

I've never heard of an open wound with a BBL.  A BBL only requires very small insertion sites to provide for both the harvest and transfer of the fat.  As Dr. Golshani stated, are you sure that you did not have some type of implant placed in conjunction with the fat transfer?  If you only had a BBL then any wound on an otherwise healthy patient should heal very well with only local wound care.  Take care and good luck.

Luis Macias, MD, FACS · Answer

Contact your plastic surgeon and discuss this with them, as they know what was done and what to worry about in your particular case. Best of luck.

George Bitar, MD · Answer

Thank you for your question.  It seems like you are doing all the right things to get your wound to heal.  This area has a peculiar blood supply that can lead to wound healing problems.  Continue with the care that you are doing and discuss this matter further with your surgeon.

S. Daniel Golshani, MD, FACS · Answer

Are you sure you did not have gluteal implants placed? The inter-gluteal incision is the preferred route for placing the buttock implants below the muscle. If that is the case , and now you have a wound dehiscence, I would highly recommend that you visit your surgeon as implant exposure will most definitely result in implant site infection and need for removal. If you only had fat grafts, the incision site may be more expectantly managed. Although I still highly advise visiting your surgeon regularly. I recommend against the daily use of hydrogen peroxide as it will delay wound healing. Best of luck. Daniel Golshani, M.D., Beverly Hills.

Maan Kattash, MD, FRCS, FACS - Account Suspended · Answer

These wounds do open infrequently due to the local pressure on that area. You are doing the right thing by keeping it clean and applying topical antibiotics. I do not like hydrogen peroxide on open wounds.i recommend having it checked out by your surgeon. He will be best to advice you. .

BBL 2 1/2 weeks post op and stitches gone with open wound. Any advice on this situation?

Answers (6)

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