Question about open area at T-incision 1 month post op bilateral breast reduction. (Photos)

Question

I am four weeks post op bilateral breast reduction (as of Friday). When removing the scar tape yesterday, I noticed this open area at the T-incision. I don't smoke nor do I consume caffeine. I contacted my PS and following advice of Neosporin and band aid changing BID. Any other suggestions? Is it possible that driving a long distance could contribute to this? Thank you. Side note - first pic was taken yesterday and second pic today

William L. Reno, III, MD · Answer

This is a very common occurrence following a breast reduction or breast lift with a T incision.  This area will heal fine.  At this point just keep the area clean, follow your surgeon's instructions, and monitor the area for any evidence of infection.

Gregory Baum, MD · Answer

Thank you for your question. Based on your photo it looks as though you had a breakdown in the skin in that area. This is fairly common and caused be a suture abscess or a small area of tissue necrosis. It will typically heal up quickly on its own. I recommend patients to come in if they are having any associated fevers or increased warmth in the area. Best of luck!

Tom J. Pousti, MD · Answer

I am sorry to hear about your concerns. The photograph and description seems to be most consistent with the presence of a "stitch abscess". Sometimes, an absorbable suture will "spit" (come to the surface); this is often associated with some drainage and possibly a remaining small/temporary hole.  The wound may also occur secondary to tension and diminished blood flow in the area. 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. Occasionally, removal of unhealthy tissue (debridement) and/or removal of exposed sutures, may expedite the healing process.   Usually, these types of wounds are healed by the time the patient reaches the 2 month post op mark.
 
Best wishes;  despite the separation/wound it is most likely that you will be pleased with the longer-term outcome of the procedure.

Reza Sadrian, MD · Answer

Breakdown of the skin in that area is a fairly common issue which can be cause by a suture "spitting out" (coming to the surface) or the tension on the skin. It is important to keep the area clean and applying an antibiotic ointment as your surgeon suggested in reasonable. These kinds of wounds usually go on to heal with secondary intention and in most cases the scar is acceptable.
Best Wishes,
Dr. Sadrian

Question about open area at T-incision 1 month post op bilateral breast reduction. (Photos)

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Answer: Open area at T-incision

Answer: Open area at T-incision

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Question about open area at T-incision 1 month post op bilateral breast reduction. (Photos)

Answers (4)

Answer: Open area at T-incision

Answer: Open area at T-incision

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Everything you need to know about Breast Reduction

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