Help! Open wound getting worse! Is this normal? (Photo)

but looks clean so you are doing a good job with your wound care. Wound separation and breakdown can and does happen, keep close f/u with your PS and things will heal with time.

Thank you for your question and pictures.  I agree that the open wound has gotten a little larger but also it looks cleaner.  I assume that your PS has you doing wound care.  Regardless, close and frequent follow up with your PS is important to heal well.  This should heal eventually, you'll just have to be a little patient.  

Thank you for your question.  I am sorry that you are dealing with a complication.  It appears that you have some skin break down after your a breast reduction or mastopexy.  It looks like you have a few areas of fibrinous tissue.  This wound will likely heal over time.  After, you may need revisional surgery to improve the scars.  Regular follow-up is with your surgeon is important to make sure you are healing appropriately.  
I hope this helps.
Good Evening,