My wife has had a double mastectomy and the wound is not healing?

Doctor Answers 4

Poor wound healing after mastectomy

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I see that this question was posted in 2013- but mastectomy wounds can be very problematic! I hope your wife has had good care in the meantime and has healed. For anyone curious about poor wound healing after mastectomy, the most important factor is the mastectomy surgeon allowing healthy blood supply to be left behind. Factors we can't change include radiation exposure or other medical conditions that limit wound healing, like diabetes or problems with blood clotting. Maximal nutrition and no smoking are also areas that can impact wound healing as well. 

Non healing wound with breast reconstruction

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Breast reconstruction goes through phases. More information regarding your wife's chemotherapy or radiation treatments may provide useful clues as to her healing ability.

Raffy Karamanoukian MD FACS

Los Angeles

Wound healing after mastectomy

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WIthout information I don't know exactly how to answer this for you. IN general we perform immediate breast reconstruction. If a tissue expander or implant was used there are small incisions to heal. If a flap procedure was performed there are incisions where the flap was taken that need time to heal.

Healing of breast flaps

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Many factors contribute the the healing of skin flaps following mastectomy. Flap vascularity is key and in some occasions some trimming need to be performed to allow fresh , viable edges to be sutured together.

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.