Breast Lift 3.5 weeks ago. I went to my PS who I trust and is a board certified PS. He said it would heal & to apply dry gauze daily. So I am really asking for reassurance that this will happen. He said it may get worse before it gets better (which is what is happening now) It seems to be separating more at the scar line 2 - It's tough to wear a supportive bra with the sore. Is it ok at this stage to not be wearing a bra as the instructions were to wear one full time for the first 5 weeks.
Answer: Recommend doing a scar revision for this followed by proper scar care Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.
Helpful
Answer: Recommend doing a scar revision for this followed by proper scar care Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.
Helpful
June 4, 2017
Answer: Wound healing Thanks for your inquiry, your surgeon is right that sometimes these wounds get worse before they get better. My only suggestion is ask your surgeon about adding muciporin ointment so it won't stick or a silver dressing. This may slightly speed up the process and good luck.
Helpful
June 4, 2017
Answer: Wound healing Thanks for your inquiry, your surgeon is right that sometimes these wounds get worse before they get better. My only suggestion is ask your surgeon about adding muciporin ointment so it won't stick or a silver dressing. This may slightly speed up the process and good luck.
Helpful
June 4, 2017
Answer: I have developed an open sore under my left breast that continues to open at the scar line? Thank you for your picture and questions. Sounds like your surgeon is spot on. This is an area where the blood supply to the skin was compromised and now you have developed an open wound. This may take some time to develop fully so it may appear worse at first. However, with good local wound care, it will go on to heal with time and will leave a widened scar in this area. This is not an uncommon occurrence. I would disagree slightly on the wound care though. It has been shown that wounds heal faster in a moist wound healing environment, so I would encourage you to wash the area with soap and water daily to keep it clean and then apply antibiotic ointment and a bandage. Stay in touch with your PS. Hope this helps!
Helpful
June 4, 2017
Answer: I have developed an open sore under my left breast that continues to open at the scar line? Thank you for your picture and questions. Sounds like your surgeon is spot on. This is an area where the blood supply to the skin was compromised and now you have developed an open wound. This may take some time to develop fully so it may appear worse at first. However, with good local wound care, it will go on to heal with time and will leave a widened scar in this area. This is not an uncommon occurrence. I would disagree slightly on the wound care though. It has been shown that wounds heal faster in a moist wound healing environment, so I would encourage you to wash the area with soap and water daily to keep it clean and then apply antibiotic ointment and a bandage. Stay in touch with your PS. Hope this helps!
Helpful
June 4, 2017
Answer: Open sore It will take time for the opening to close. I would discuss with you Plastic Surgeon to place a moist gauze with saline to help with wound healind
Helpful
June 4, 2017
Answer: Open sore It will take time for the opening to close. I would discuss with you Plastic Surgeon to place a moist gauze with saline to help with wound healind
Helpful
June 3, 2017
Answer: I have developed an open sore under my left breast that continues to open at the scar line? Wound separation is very common with breast lift. Even at the most prestigious medical centers in the US, up to 1/3 of patients developed this complication in studies which have been published. My point is that this wound complication can be handled from experience with previous patients. You need to see your plastic surgeon more now that this is getting bigger for a formal evaluation. You should ask your surgeon for a list of supplements to take to improve your wound healing, for very specific wound care instructions, bra wearing instructions, and whether your lesion needs to be re-sutured now or in the near future. Only your plastic surgeon can make this call. Best wishes, Dr. ALDO
Helpful
June 3, 2017
Answer: I have developed an open sore under my left breast that continues to open at the scar line? Wound separation is very common with breast lift. Even at the most prestigious medical centers in the US, up to 1/3 of patients developed this complication in studies which have been published. My point is that this wound complication can be handled from experience with previous patients. You need to see your plastic surgeon more now that this is getting bigger for a formal evaluation. You should ask your surgeon for a list of supplements to take to improve your wound healing, for very specific wound care instructions, bra wearing instructions, and whether your lesion needs to be re-sutured now or in the near future. Only your plastic surgeon can make this call. Best wishes, Dr. ALDO
Helpful
