I have wound breakdown after Breast Lift with Implants. Is this normal? Is there anything I can do to help the healing? (photos)

Wound breakdowns like yours are not uncommon following this surgery, and they almost always look worse than they end up. In other words, they look large and terrible at first, but with proper management, go on to heal quite well. In fact, they actually heal so well most women choose not to undergo scar revision, though those same women look at the wound at this stage and think for sure they will need scar revision.Sticking to dead scabbing and causing bleeding is NOT a bad thing--healthy tissue bleeds and dead skin and scabbing does not! Blood has healing factors that actually accelerate healing, so do not be afraid to pull of those gauze dressings, and don't soak them off gently and leave that garbage on the wound surface! Honest!The only concern is that you say the wound are getting bigger. If indeed this is the case, then you should be seen by your surgeon, Though your photograph shows no evidence of infection, without doubt your tissues are compromised as they heal, and an oral antibiotic may be reasonable. Ask your surgeon when you see him/her.This should continue to heal, but only if it is getting proper care and management. It will take several weeks to completely seal shut, and longer to soften and mature fully. Best wishes! Dr. Tholen

Your pictures demonstrate wound separation along both the transverse and vertical limbs of your breast closure. Unfortunately, wound separations aren't unusual following this type of procedure for a variety of reasons.When patients undergo breast augmentation in combination with breast lift surgery, skin flaps are wrapped around a central pedicle of breast tissue that supports the blood supply to the nipple areola complex. The area where the transverse incision meets the vertical incision is at significant risk for breakdown because the flaps in this location may have poor blood supply. In addition, the weight of the pedicle and breast implant may exert significant downward force upon the closure where it's weakest because of poor blood supply.Wound separation following this type of procedure usually heals nicely with local wound care and dressing changes. It's not unusual for minor bleeding to occur with dressing changes as debris is removed from the wound surface. In most cases, healing is complete in 4 to 6 weeks, but this may vary from patient to patient. In a small number of cases secondary scar revision may be necessary at a later date.Even when patients who undergo the combination of breast augmentation and breast lift have areas of wound separation, the clinical results following this procedure are excellent. After wound healing is complete levels of patient satisfaction are high as well.

Thank you for sending your question and photo. Your closure has slightly opened. Separation in this area can occur with breast lift and implant surgery. Cleanse and apply antibacterial ointment. Wash hands prior to application.  Healing varies from 1- 6 weeks  Please contact your Plastic Surgeon to be seen today for further recommendation.