Breast augmentation incision not healing, 9 weeks post-op -- what do I do? (Photos from week 1, 3 and 9)

Difficult to tell, but you may require explantation, place new implant and debride the surround tissues.  If you haven't healed by now, it is likely a deeper problem than just the skin

Sorry for your problems, it must be frustrating.It is uncommon for breast augmentation incisions to take this long to heal.My advice is to get a wound culture done on the wound. This is a painless Q-tip swab of the wound. In 3-4 days, you will have the results of the test. You will know what bacteria is present and the right antibiotic to treat the wound with. Remember, antibiotics don't work on all infections. The right antibiotic needs to be used to heal a wound.Between, the information you get from this test and some simple wound care, you should be able to heal the wound.Again, sorry for the problems.Good Luck.

Kay.   Sorry you are having these wound healing issues, but it does appear that your situation is improving and the wound healing finally. Sometimes issues with wound healing can occur with any type of cosmetic surgery and close follow-up care with your plastic surgeon and wound care is imperative. It appears that that is occurring in your case. Continue to follow up closely with your plastic surgeon. Best of luck.

It does look as if you have had a wound infection, though I can't see any sign of a more worrying, deep-seated implant infection. It is not really possible to give any clear recommendations on how best to manage this without seeing you in person and I therefore think you should get in touch with your surgeon to request an urgent review. Good luck

At 9 weeks, the inframammary incision has usually well-healed and I am sorry you are experiencing this complication.  As others have stated, the problem could vary from a minor wound infection to a deeper process involving the implant.  I would recommend following up with your surgeon for a re-assessment so that you can be properly treated.  Hope this helps and best of luck!

Usually breast augment incisions have healed at this stage and I would make an appointment to see your PS for advice. 

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

for wound care instructions and to make sure there is no communication between your wound and your implant.  If there isn't, you are likely to heal despite what you see.  If there is a communication, your implant will have to come out, heal, and then return and have the procedure repeated.  Wondering why your wound broke down on such a simple, straightforward procedure.

Thanks for your question kayxxx, hopefully I can help.  I
agree that usually breast augmentation incisions are well healed by the time 9 weeks roll around.  I would definitely schedule a follow up appointment with your surgeon to discuss why you aren't healing.  Most often, an area of
delayed healing can be a stitch or two that was exposed and allows a small number of
bacteria to be present that prevents complete healing.  If the stitch is
dissolvable, it will eventually resolve on its own, but I'm sure your plastic
surgeon would not want you to suffer in silence.  Other causes of delayed
healing could be niccotine (second hand smoke included) or nutrition
deficiencies.  Occasionally, there is something brewing deeper by the implant and that can progress to be something more serious.  You owe it to yourself to get checked out by your surgeon, and don't hesitate to get a second opinion if you feel your concerns are not being heard.  I wish you the
best!
Dr.
Max

Thank you for the photos.  This is not normal and suggests an underlying infection.  The fact that you did have a course of antibiotics is good.  With wound break down like this, there is a risk of implant exposure, so seeing your plastic surgeon soon is important.  At this point, would care, topical antibiotic ointment and oral antibiotics are indicated, and hopefully everything will heal.