3 weeks post-op for breast lift with implants. Open wound at T-junction is deep and leaking clear/yellowish fluid. (Photos)

Question

right breast has separation at the T junction and I’ve been cleaning with soap and water and putting a bandage to avoid friction from my sports bra on the wound. Well just now when I was checking on it, liquid literally dripped down onto my stomach and when I pushed a little to see if anything would come out, I could hear fluid inside my breast bubbling a bit. No pain that I’m aware of. This breast was tuberous before the lift & augmentation. What should I do?

Gerald Minniti, MD, FACS · Answer

Hello,The photos shows visible breast implant. Please see your surgeon as soon as possible. You will unlikely be able to save this implant, as it will likely become infected (or already is). If your surgeon determines it needs to come out, you should remove both implants. Best of luck!

Scott W. Vann, MD, FACS · Answer

Your first photo was very concerning to me. I think I see a small bit of the implant showing. I feel you need to urgently contact your surgeon to get this checked out. Good luck.

Farbod Esmailian, MD · Answer

The "T" junction is prone to delayed healing and that is what you are experiencing.  In most cases this is not of an issue as the tissue underneath is protecting the implant and there is no implant exposure.  With dressing changes these wounds go on to heal well.  However, I am a bit concerned with the first photo you posted and would recommend you contact your plastic surgeon to be evaluated sooner than later.Hope that helps.

Daniel Barrett, MD · Answer

Dear MCPuffs,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. Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Curtis Wong, MD · Answer

and I hope you have by now as your wound is suspect for an exposed implant.  Only your surgeon knows what tissue was preserved between the implant and the air and your surgeon must determine if there this wound communicates with your implant.  If it does, you can certainly attempt salvage but most are doomed to fail.  Most surgeons would recommend removal and healing before going back.  I hope you have seen your surgeon by now.

Steven Varkony, MD · Answer

Thank you for your question. 
Your picture looks concerning. Without an in-person examination, it's impossible to determine the cause of the fluid. It is important that you are following your surgeon's post-operative instructions to ensure the best results. We recommend you schedule an appointment as soon as possible with your plastic surgeon to discuss and examine the concerns. 
Best of Luck!

3 weeks post-op for breast lift with implants. Open wound at T-junction is deep and leaking clear/yellowish fluid. (Photos)

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