Advice on wound care? (photos)
Doctor Answers 3
Wound care after breast lift plus implants.
Soaking these wound with alcohol (or peroxide) is NOT advised. These powerful agents kill germs to be sure, but this is a circulation problem, not an infection problem (at least at this time--but more about that in a minute). Both alcohol and peroxide also kill normal skin cells, which is why I think your area of "white tissue" (this is dermis, and, NO, it should NOT be removed--this is all that is holding things together at this time) has enlarged: the skin cells on the surface of your wounds are already "hurting" for adequate blood flow, and then you are putting strong fluids on these tissues that have killed additional surface cells.
The gentlest of soaps and water washes (without soaking and softening already-weaker tissues), plus a thin layer of Bacitracin, and a non-stick dressing are all that are needed for wound care, plus an oral antibiotic so that these open wounds do not become infected. Patients often think that prescribed antibiotics mean "infection," but in this setting they are recommended to minimize the risk of infection developing in small wounds that will heal if just protected and with no further harm done by overzealous treatment.
Steri-strips are not recommended, though they are tempting to "reinforce" wounds that may be under some tension still, and that have increased potential for additional breakdown. The problem is that doing "too much" can actually increase the chances of developing the very problem you and your surgeon both want to avoid--this area "falling apart" on one or both sides.
I cannot stress enough that these tissues are in a tenuous situation, so doing the "right" things and avoiding potentially harmful things like alcohol soaks are critical to healing without further problem. Best wishes! Dr. Tholen
Advice on wound care?
Local Wound Care
You might also like...
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.