Breast augmentation scab and hole 6 weeks after surgery (Photo)

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hello,
Your implant is exposed, and this will not heal. You will need removal of the implant, and I highly recommend removing the other too for symmetry.  Once you are fully healed, at least 6 months, you can get re-augmented.  You should really have an ABPS certified/ASAPS member surgeon who specializes in revision breast surgery help you. Best of luck!

Thank you for your questions and photos. Unfortunately, you are experiencing some issues that you should not ignore. It would absolutely be best to visit with a Board Certified Plastic Surgeon to explain your situation and see if there is anything that they can do. In my opinion, based on photos and without examining you in person, that tissue would need to be excised and removed to increase your chances of acceptable wound healing. Gather all of your operative documents that you have, or request them from your surgeon in Columbia and visit a plastic surgeon as soon as you can. I wish you the best of luck!

Thank you for the photos.  Unfortunately, you do have some issues with those areas and the problem here is that you have an implant that may or may not be at risk.  It just depends on how much tissue you have to cover the implant.  Given that you are status post massive weight loss, I would assume that you have minimal tissue covering your implants. You do need to follow up with a plastic surgeon who is willing to take over your care.  One problem is that any plastic surgeon that takes over your care would not know exactly what was done and so forth, so it puts him/her in a tough predicament.  Your best option would be to follow up with the plastic surgeon who performed the surgery as they may be the best person to address this problem.  If that is not possible or feasible, they you may want to use the ABPS (American Board of Plastic Surgery) website to find a surgeon in your area.  You may have to call around and see if a plastic surgeon is willing to see you and take over your care.Hope that helps.

Dear lucyjet,this type of wound is not uncommon after breast lift. It is usually caused by poor blood flow. I would suggest you to consult your plastic surgeon, follow your surgeon's instructions and keep your wound clean and covered. It can take few weeks or months for wound to fully heal. In case your implant is exposed, then it should be removed as soon as possible. Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

It looks like your incisions separated or you lost some skin after the lift.  The difficulty having surgery in outside countries is dealing with potential complications after.  The problem isnt with the separation or scab, but the possibility of having an exposed implant if this is a full thickness loss.  For now, simply apply some antibiotic ointment and cover the wounds. You may need some sutures removed if they are spitting, or the area wont heal.  Contact a PS and see if they are willing to see you to address your issues. 

This could be a very significant problem. If the implant is exposed it would need to be removed. This is the type of problem, you should be seen weekly by a plastic surgeon to help with this. This is one of the problems that commonly happen when patients go overseas for cheap plastic surgery. I would recommend you go back to Columbia and have your surgeon address it or try to find a board-certified plastic surgeon by the American Board of plastic surgery who would be willing to help you.Best Regards,Dr. Michael Gartner

I am sorry to hear about the problems you are experiencing following breast lift with implants.  From the photos provided, it is highly likely that the implant has extruded through the large opening where the vertical and horizontal scars meet called the T-junction.  It is difficult to tell for certain from photos only.  If that is the case, the wound will not heal and the implant needs to be removed.  Once everything has healed, you can have the implants replaced.  Since your original surgery was in Columbia, I would recommend following up with a plastic surgeon close to your home as soon as possible to address these issues.  A plastic surgeon well-versed in revision breast surgery will be able to assist you in your recovery and help with the revision you will need in the future.  Best of luck!
Ziyad Hammoudeh, MD

Based on the photos that you provided, there are definitely healing issues that should not be ignored. Furthermore, there is the distinct possibility that you implant could be exposed or close to being exposed which is a critical issue. You should seek out an assessment immediately from a reputable board certified plastic surgeon who is willing to assume your care (a risk of having surgery abroad).Steven Turkeltaub, MD

Advice really can only be given by an examination by your PS as he/she will know what technique and how much breast tissue you have to cover the implant. The concern is exposure of the implant and if the implant is visible / close to the skin then the implant will need to be removed to get everything healed. If there is sufficient breast tissue coverage this may heal but only your PS can advise.