Does this wound look like its healing? (photos)
Doctor Answers 10
Breast lift plus implant wound healing issues.
The white around the edge of your healing wound is dermal collagen; fibrin is the surface layer that can be scraped off to reveal pink, bleeding (healthy) granulation tissue. Epithelium will need to grow in from the ides of your wound, and although there will be more final scarring than if your wound edges had stayed together, your new final scar will be surprisingly smaller than the present wound would suggest. Local anesthesia scar revision is always possible, but many patients heal wounds just like yours so well that after they soften and fade they decide that scar revision is unnecessary. Yup, it CAN end up that much better than you are worried about right now.
Of course, avoidance of further wound separation, disruption, or development of infection is critical, so follow your surgeon's advice and frequent recheck schedule. Keep activities low that might mechanically disrupt this weaker area (like visiting establishments that serve liquor), and take it easy as thing heal. This always takes longer than you want, but less than it seems it might by looking at it right now. Several weeks would be average.
Mechanical removal of the fibrin debris on the surface of the wound (by your surgeon each visit without anesthesia or "cutting") will assist the healing process. Your keeping the wound clean and moist without infection will further enhance the healing rate. Letting this dry out, or failing to wash the wound "because it bleeds" is NOT good. Remember that healthy tissue bleeds, so a bit of surface oozing only releases platelet-derived healing factors from your blood to the wound surface--all good. Infection and dryness slow or reverse healing--NOT good.
This may have been an example of Vicryl or Dexon braided absorbable sutures that became contaminated by skin bacteria and formed tiny stitch abscesses, leading to wound breakdown and stitches "spitting," as you have described. This is why I prefer monofilament sutures for skin closure. Not that using monofilament sutures "prevents" this from happening; but it DOES reduce the risk. Wound breakdown can happen even with monofilament sutures if the wound closure is too tight or the implants chosen too big, but may be more common with the braided absorbable sutures that can harbor otherwise "normal" skin bacteria within the tiny suture braided construction interstices, leading to "spitting" stitches.
I rarely see this problem since I have switched to non-braided absorbable sutures, and now see wound breakdowns such as yours most commonly in patients who smoke or are exposed to second-hand smoke, causing nicotine vasoconstriction and ischemic healing problems in the wound edges. I don't know if either, both, or neither of these issues apply for your specific case, but it is useful to mention for other readers.
Hang in there and see your surgeon frequently. This will ultimately be just fine! Best wishes! Dr. Tholen
Wound healing problems
Breast Aug/Lift. Wound healing issue.
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Incision separation after breast lift and enlargement
This will take time to heal, perhaps another 4 weeks.
The wound has to shrink and skin has to seal it.
If you are near a hospital with a wound care clinic, you might ask your surgeon to refer you to see if some of the new dressings can speed up your healing.
Be sure to see a Board Certified Plastic Surgeon.
Here’s hoping you find this helpful. Have a great day!
Open wound after breast implant and lift
This will take time but it will heal
This problem, not serious it seems, happens in uplifts with too wide implants, or when the patient is not absolutely inmobile at home the first 2 weeks.
Wound looks like it is healing
Local wound care should allow this to healing within a couple more weeks, though it may be a year until the redness is all gone.
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