One month post op breast reduction, it seems my incisions are splitting and I cannot tell if they're infected. (photos)

My left breast which had more reduced than my right seems to be healing slower and with issues. My incisions seem to be splitting and I cannot tell if it's infected. I had my steri strips replaced weekly and finally removed last week. My doc said to just keep cleaning the area but I'm worried it's infected, despite bacitracin. I did not have any drains and I am leaking a small amount of fluid from underneath my breast. I can feel a hole as if I popped a stitch. And it's burning

Doctor Answers 4

One month post op breast reduction, it seems my incisions are splitting and I cannot tell if they're infected.

Incision separation after a breast reduction or mastopexy is somewhat common due to several factors including the tension that is left on the skin after the procedure and its subsequent swelling.  Some people react to various suture materials as well.  Appropriate dressings recommended by your surgeon may be necessary for several weeks but in the end it will heal.  I think that you should be seen at least once or twice weekly by your doctor to monitor healing and progress. Best wishes.

Jon A Perlman MD FACS 

Certified, American Board of Plastic Surgery 

Extreme Makeover Surgeon ABC TV

Best of Los Angeles Award 2015, 2016 

Beverly Hills, Ca



Beverly Hills Plastic Surgeon
5.0 out of 5 stars 30 reviews

Incision issue

If you are having incision issues like spitting sutures, etc.. you should be seen by your surgeon. Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Splitting Incisions

Thank you for your question - Openings along the breast reduction incisions are not uncommon. Follow-up with your plastic surgeon is indicated to evaluate the cause of the opening.  A treatment plan can then be determined. Best of luck!

Michael K. Obeng, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 46 reviews

Spitting Sutures after Breast Reduction

Dear Jojo611,

Thank you for your pictures.  Unfortunately, suture extrusion/spitting does occur. The best treatment is frequent monitoring by your plastic surgeon.  He or she will decide the best treatment course. 

Good Luck!

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.