BL scar wounds 4 months post op (photos)

Just noticed these tiny wounds opening up in my breast lift scar. I squeezed a white substance out of then (like a pimple) cleaned them and put band aids over them. I'm 4 months post op. Is this normal? Should I be concerned?

Doctor Answers 8

Post op recovery

I appreciate your question.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.

 

Best of luck!

   

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

BL Scar wounds management

Best Scar Management is important to minimize or completely hide from view, the telltale signs of your surgery—namely, scars. Both you and your surgeon want you to have the most minimal scarring possible. There are many possible causes for scars that are enlarged or not healing well. Unsightly scars are most commonly due to genetics, underlying medical conditions, or improper scar/wound care. The last part is very important and patients can make a noticeable difference in their scars’ appearance by following best scar management practices. Here are some simple tips.

Scar Management tips:

  1. Minimize tension on the scar. Steri-Strips and/or surgical tape are often placed in non-hair bearing areas at the time of surgery to minimize tension and keep pressure over the scar.  This minimizes the  stress that  can pull the scar apart (dehiscence) creating a wound and  delaying healing time, and can make the scar wider, or more “ropy”. In the first few weeks after surgery, I recommend the use of Embrace Scar Therapy which is an adherent silicone sheeting pre-stretched when applied so as to offload tension on the scar.
  2. Keep your incision site/scar clean to prevent infection. Follow your surgeon’s wound care instructions to the letter with out modification. Never apply different products then recommended without first discussing them with your surgeon. This is especially important during the first few weeks. If there are any signs of infection, contact your surgeon’s office right away and/or see your doctor or his nurse immediately. Typical signs of infection may include redness outside the immediate incision site, asymmetric swelling, and drainage, of pus, fever, chills, and “feeling sick”.
  3. Protect your scars from the sun. Staying out of the sun is the best advice. Minimal exposure to sunlight is prevents hyperpigmentation (permanently turning brown) and other problems that can make the scar more noticeable. Sunscreen, at least 30 SPF and an overlying make camouflage make up additionally protects the scar from the suns harmful rays. This advice is especially important the first year following your surgery.
  4. Use specific scar maturation products recommended by your surgeon. Patients seem to have their own opinions on this touting everything from Pure Vit E, Coco butter, to Aloe Vera, etc but most have minimal benefit other than keeping the scar hydrated. Although hydration is important there are better, scientifically studied products with greater efficacy. Most of the scientific articles written about this subject indicate that topical silicone gel or silicone sheets work the best. The best product available in my opinion is the Embrace Scar Therapy System by Neodyne BioSciences, Inc. available in many surgeons’ offices. Essentially this is an adherent silicone sheeting pre-stretched when applied so as to offload tension on the scar. For areas that are not applicable for this product (e.g. smaller areas or on the face), I prefer BioCorneum or Kelo-Cote products There are a lot of products to choose from, but silicone should be one of the key ingredients. Although Mederma, an onion extract derivative active ingredient rather than mainly silicone based may help, primarily silicone based products are better and many also contain other ingredients that may be synergistic (hydrocortisone or other steroid, Vitamin E, Sunscreen, etc).. If the reader has problems obtaining these they can call my office. Patient compliance is also critical – use often and according to directions or it will not work optimally. NEVER apply products without first discussing them with your surgeon.
  5. Monitor to make sure your scar is progressing optimally. Keep your scheduled follow-up appointments with your surgeon to verify that your scars are maturing as expected.  Occasionally if indicated you may need a topical steroid preparation or even a series of  injections (5-FU and/or Steroids) or laser treatments  to treat or  prevent scar hypertrophy or keloid formation (red raised scars), or other topical medicines to treat post inflammatory hyperpigmentation (brown scars) with prescription creams and possible laser treatments.

BL scar wounds 4 months post op

Hello dear, thanks for your question and provided information as well... it appears that you have healed very well from your procedure, it is very normal that you developed those small openings, put antibiotic cream and it will close alone.

Tania Medina de Garcia, MD
Dominican Republic Plastic Surgeon
4.6 out of 5 stars 370 reviews

Scar Healing at 4 Months Post-Op

#Hypertrophic or #keloid scars can be a problem. The worst are usually under the breast with an #AnchorLift or inverted “T”. These can be treated like all thickened scars with re-excision, laser, kenalog/5-FU injections, creams, silicone strips and other methods to reduce and improve healing.

Now, while it can take months for scars to settle completely you can always have another follow-up appointment with your surgeon to help make sure that everything is healing properly.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 99 reviews

Post op Breast Lift

Hi and thanks for the question and photo. It is common to develop small wounds like this from suture that has not completely dissolved that the body is trying to expel. If this does not heal immediately make an appointment to see your ps. Best of Luck - Dr Hardy...

James E. Hardy, MD
Jacksonville Plastic Surgeon
4.6 out of 5 stars 51 reviews

Incision line problems

It may be that you are "spitting" one of your sutures.  The key is to get the offending bit of suture material removed - and your surgeon should help you with this - and then the little areas typically heal up without any problem.

Breast lift

Thank you for your question and photo.  This is most likely a dissolving suture working its way to the surface of the skin.  This does not appear worrisome at all. Certainly if you are concerned I would recommend following up with your operative plastic surgeon but this is not uncommon after breast lift surgery with your type of incisions. Best of luck.

James Shoukas, MD
Lake Mary Plastic Surgeon
4.2 out of 5 stars 6 reviews

BL scar wounds 4 months post op

Good Afternoon,

Thank you for your question.  This looks to be your body not wanting to dissolve a suture (typically a knot) and instead is trying to push it to the surface, when sometimes it needs to be trimmed or removed.  This can happen and generally heals well with time but you should check in with your surgeon to watch for infection and scarring.

Best of Luck,

Dr. K.

Julie Khanna, MD FRCSC
Ontario Plastic Surgeon
4.9 out of 5 stars 10 reviews

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.