Open area on butt incision from lower body lift. What should I do?

Thank you for reaching out with your concerns about the open area on your buttock incision following a lower body lift. Your submitted pictures are helpful in providing an initial assessment.
It's imperative that you maintain close communication with your plastic surgeon and their medical team. Personalized medical advice from your healthcare providers, who are familiar with your case and surgical history, is crucial in such situations.
From what can be discerned in your pictures, it appears that your body might be reacting to a suture, leading to the opening of the incision. While the area looks red and slightly inflamed, it doesn't necessarily indicate an infection. Each plastic surgeon has their unique approach to treating such complications.
Based on the information provided, it's possible that frequent walking every two hours could be exerting pressure on the incision, contributing to its opening. It's important to follow your surgeon's post-operative care instructions closely, including any activity restrictions or modifications.
Please continue to follow up with your plastic surgeon and their team for the appropriate care and treatment. While it's unlikely that the entire incision will open up, close monitoring and professional medical guidance are key to ensuring a smooth and successful healing process.
Good luck, and please don't hesitate to reach out for any further assistance or guidance.
Sincerely,
Dr. Katzen

Local wound care will vary from one surgeon to another;  generally, keeping the area clean, the use of topical antibiotics, sterile dressings etc. will likely play a role.  Close follow-up with your plastic surgeon will be key. Best wishes.

Appears as a wound edge issue that needs attention from your chosen operative surgeon................