Dark spot at T junction, is this normal? (Photo)

Question

Is this dark spot at the T junction normal? There is bruising there, but the 1 spot looks dark. Is this normal? I am 14 days post breast reduction. Thank you for looking!

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for the picture.  the dark spot at your T-junction does not appear concerning in my professional opinion. This may represent residual discoloration from the bruising that you mentioned. It is always wise to seek council from your plastic surgeon in regards to issues like this and others.Best wishes.Earl Stephenson Jr M.D. DDS, FACS

Robert Cohen, MD · Answer

It looks like you had a quality reduction and are simply having a small healing issue at the T junction which is the most susceptible area for a wound.  It is unlikely that this will turn into anything serious.  Make sure your bra is not rubbing on the area, and if the incision opens up a little, you will likely need to perform dressing changes to accelerate healing.  More than likely you will heal just fine as is.  Let your surgeon know what's going on in case they have any specific suggestions. Best of luck!

Gary L. Ross, MBChB, FRCS · Answer

I would run this by your PS. The skin looks intact and it is likely that the bruising will settle. It is common to have minor wound issues at the T junction.

Michael Constantin Gartner, DO · Answer

You may have a small separation or wound dehiscence. I would recommend you follow up with your plastic surgeon and they should guide you in your post op Care.Best Regards Dr Gartner

Tom J. Pousti, MD · Answer

Congratulations on having undergone the breast reduction procedure; this operation tends to be one of the most patient pleasing operations we perform. Based on the photograph, your incision line seems to be feeling very nicely (I do not see anything to be concerned  about). The spot at the T junction may be a small separation (not uncommon in this location), residual bruising, or a suture related problem. Your plastic surgeon will be able to sort this out for you at your next follow-up. Best wishes for an outcome that you will be very pleased with.

Matthew H. Steele, MD · Answer

Thank you for your question and photo.  Yes, this is not uncommon.  That location has the highest tension (tightness) and poorest blood flow.  The result can be a small area of separation that requires minor wound care for full healing.  This is more common with larger reductions, obese patients, and use of the inverted T incision.  Check with your surgeon for instructions. Good luck.

Dark spot at T junction, is this normal? (Photo)

Answers (6)

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