Wound care with Silvadene looks strange after breast reduction. Is this normal?

I like Silvadene for a variety of wound care applications.  Just shower normally and let soap and water run over the area.  You should shower off the old silvadene before putting on the new dressing, but do not scrape the area.  Dry gauze is fine.  The gauze is just to keep the silvadene in place and keep it off your clothing.

If someone has a wound healing problem following a breast reduction, it is often at this "T" junction where you describe.  Silvadene is a commonly used antibacterial cream that can be used to treat a wound such as yours.  If Silvadene is not cleaned off of the wound well, it can build up and look similar to what you describe.  I would recommend talking with your surgeon about recommendations on how he/she would advise you to cleanse the wound.  You may also inquire about enzymatic debriding agents, such as Santyl or similar, depending on how your wound is coming along.Take care.

The use of silvadene to help a wound heal is a technique use for wounds anywhere on the body. Silvadene is used to decrease the possibility of the open wound from becoming infected. Whether a standard gauze of a non-stick gauze is used is up to you, I usually give patients non-stick gauze as that causes less discomfort when dressing changes are done.

Silvadene ia an antibiotic cream that is sometimes used for open wounds or burns, but it does form a "glaze" sometimes on wounds. This usually goes away as things heal. Best to follow your surgeon's instructions.

It is common to have wound issues at the inverted "T' portion of the  bresat reduction incision.  Silvadene should be completely removed before being reapplied.  I have my patients wash it off during their daily shower before reapplying it.  You may asl ask your surgeon about using Bacroban ointment which tends to be less "messy".The wounds almost always heal up with time.Best of luck.Dr. T

Congratulations on having undergone the breast reduction procedure. Unfortunately, the types of open wounds that you describe can occur occasionally after this operation and breast lifting operations. Fortunately, the majority of these wounds go on to heal without long-term sequelae;  a variety of different types of wound management regimens can be successful. In my practice, I ask patients to use a nonstick dressing over clean wounds to prevent gauze from sticking to the wounds.    Occasionally, the direct application of gauze, as in a wet to dry dressing, may be helpful if the dressing changes are meant to help with gentle “debridement”. Always best to run these types of questions/concerns directly by your plastic surgeon for clarification. Best wishes for an outcome that you will be pleased with long-term.

If you don't, you will start to accumulate a film on it that looks nasty.  Really clean the area with soap and water until you are looking at the raw tissue and then re-apply the Silvadene.  Doubtful you need wet gauze in there, but wetting whatever dressing you have on there will make it easier to come off.