Right incision is not closing 4 weeks post op. Is it infected? (photos)

This is very unusual to see and I would be a bit concerned given that you have an implant under that incision.  Breast augmentation incisions usually heal fairly will without any concern.  In your case this is not so and it does appear that there is some separation of the skin incision.I would recommend staying in close contact with your plastic surgeon to make sure the wound is taken care of.

Dear julieteliz,I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Breast implants are placed threw small incisions and there can sometimes be delays in wound healing. It is very important to stay in close communication with your  surgeon if this happens. Your surgeon my wish to place you on an antibiotic to help prevent an infection or not and provide instruction on local wound care. The answer to what you should do is to follow the instructions of your board certified Plastic Surgeon to maximize your good result.

You should be in close communication with your surgeon with VERY regular followup as any amount of delayed healing may be a sign of exposure and/or infection of the implant. Sometimes the scabbing is because of only minor healing issues of the superficial skin layer (related to blood supply issues to the skin edge or cautery thermal injury to those cells), but an open wound with an underlying implant should always be a cause for concern. Sometimes these wounds need to be freshened in a sterile operative environment and reclosed to protect the implant.

Congratulations on your recent surgery and thank you for sharing your question about your post operative recovery and results after your surgery.  Final results can take 6-12 months for all the swelling to subside.  At our office we actually see all of our surgery patients the very next day after surgery and then again at two weeks and beyond. We enjoy staying closely connected to our patients and enjoy giving the extra attention and service. Your concerns are important to discuss directly with your board certified plastic surgeon.  He or she will appreciate the open communication and will want to help you. I hope this is helpful and wish you all the very best.  Sincerely, Brian S. Coan, MD, FACS