8 days post op breast reduction, is this wound dehiscence? (Photos)

Question

Noticed this today at inverted T. I have an appointment in 3 days with my PS. Is this early dehiscence, will it get larger?

Curtis Wong, MD · Answer

often do what you see and you should have received reassurances from your surgeon that all is good.  You should heal well if there is no progression and I do not anticipate progression from your photos.

Moneer Jaibaji, MD · Answer

The photos show some wound separation at the lower part of the vertical cut. The second photo shows some redness of the surrounding skin. If there is a concern of wound infection I suggest you try to see you PS earlier. Also get some advice about the dressing and wound care.

Michael F. Bohley, MD · Answer

A minor wound dehiscence at this location is not uncommon following breast reduction surgery. Most are superficial, and heal well with conservative management, and ongoing wound care. The resulting scar may require revision at a later date, but many heal very well. If you haven't already done so, I would inform your surgeon of the status of your wound site. The inverted-T closure is the area of maximum tension following reduction. Support with a soft bra is very helpful, to encourage more rapid healing at this site. Best of luck to you.

Tom J. Pousti, MD · Answer

Congratulations on having undergone the breast reduction procedure. You are correct in that the T junction area can displays difficultly healing and open wounds are not uncommonly seen. These wounds go on to heal through a process of contraction where the tissues heal from the sides towards the center of the wound;  this process usually takes several weeks to occur, depending on the size of the wound.  Hopefully you will be seeing your plastic surgeon on a frequent basis; he/she will be in the best position to evaluate your progress. Occasionally, removal of unhealthy tissue (debridement) and/or removal of exposed sutures, may expedite the healing process.Best wishes; keep in mind, that the vast majority of patients who experience these type of incision line healing problems end up very pleased with the longer-term outcome of the procedure performed.

Liana M. Lugo, MD · Answer

Thank you for your question. Wound dehiscence or wound breakdown is one of the most common complications after reduction mammoplasty. This is most often found at the junction of two scar lines. In your case is at the junction of the inverted T.  This is the area of the wound where the tension is the greatest. It usually heals by secondary intention with local wound care and the scar is acceptable.  Best wishes.

Ronald V. DeMars, MD (Retired) · Answer

The Inverted - T scar pattern is quite commonly used for breast lifts and reductions. The healing issue you are noticing is one we all occasionally see with this incision. Most commonly it is a minor issue that will resolve on its own with local wound care and your doctor can instruct you on how he prefers to handle this. It almost always heals satisfactorily but on occasion may need a minor scar revision in a few months.

8 days post op breast reduction, is this wound dehiscence? (Photos)

Answers (6)

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