Is this breast tissue necrosis or just a scab? (photo)

Hello there

In the absence of infection there is no urgency to intervene and the area can be observed . The human body has a remarkable ability to heal itself and you may well be surprised at how well this area resolves .

It does take time , however .

Keep the appointment your plastic surgeon has made for you but let him know sooner if the area becomes red and painful .

All the best

Terrence Scamp

Yes, it is not unusual to see delayed wound healing or skin necrosis after these types of procedures.  The important point is how to manage this down the road.  There is a HUGE difference if this represents an implant case or not.  Patients having undergone a Breast Lift or Breast Reduction without implants can be managed very conservatively without much concern for the depth of the wound, time to complete healing, or to some extent the exact "status" of the wound.  These will heal eventually, perhaps with the need for a revision in the office under local anesthesia.

More critically, if an implant is in place, the status of the wound is of paramount importance as infection into the tissues or exposure of the implant can mean significant risk to the prothesis and even potential loss of the breast implant.  My suggestion is followup with your plastic surgeon who is aware of YOUR specific situation. Best of luck.