Three weeks post-op and I see white strings hanging from my stitches and one wound seems open on the edge? (Photo)

Thanks for sharing your concerns with us. In my practice, after performing a breast augmentation I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense. In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling.Respectfully, Dr. Emmanuel Mallol Cotes.-

Sorry you are having difficulties, I really am. You are now in the position of having to find a doc who's willing to see you and who won't likely have access to your operative report to see what was done, how your wound was closed, implant size, etc...You may have some of this information and I hope you do. Patients often talk about the cost savings of going abroad for their surgery but, your case (and a dozen more like you that have come to my office or the local ER) point out the fact that sometimes saving money on the surgical fees, costs more in the long run. Good luck.

Hello lunaaa123,Thanks for your question.First, stop using peroxide.  Just clean your incisions with soap and water.  Peroxide can dissolve suture material and kill healthy tissue cells trying to close your wound.  Increase the protein and vitamin C in your diet to improve your wound healing.Avoid wearing any underwire bras, because the wires can cut into this areas forcing them open.I do recommend you see a surgeon locally to make sure that the implants are not getting exposed. It is likely that you have just minor wound issues, but it pays to be sure.Good luck,Dr. Shah

Thank you for your question and photos.  No online reviewer can diagnose a condition based solely on the information provided.  However, it does not look infected as there is minimal redness.  I would recommend you see a plastic surgeon to ensure this does not deteriorate.  You are correct to question the appearance of your wounds.  

The answer to your question depends partly upon how your surgeon closed the wounds. Most plastic surgeons close submuscular breast augmentation incisions in three layers. If that is the case here and you do not have an infection you will most likely heal without further intervention as long as you keep this clean. If the implant becomes exposed, however, it will almost certainly have to be removed.As you probably realize now, destination plastic surgery is a risky proposition. Not being able to see your plastic surgeon is a problem. Not being able to contact your surgeon is even worse. I would strongly advise you to seek help from a board certified plastic surgeon in your area. You will almost certainly have other questions moving forward. 

Hi,

Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
concerns.

Having said that, a topical ointment should be used.

Best wishes,

Dr. Michael J. Brown,  Northern Virginia Plastic Surgeon

Your incision seems to be more inflamed than would normally be expected at 3 weeks.  Unfortunately you are at the mercy of a plastic surgeon in the US assume your care.  Do your best to see a plastic surgeon in your area to be checked.  If left unchecked you run the risk of infection and implant infection.  

Another out of country needing post care! Call ALL the PSs in your area, offer to pay upfront for consultation and care. Expect fee to be in $500+ ranges. Lesson: going out of country for cheaper surgery becomes expensive for post op care.......

Thank you for the questions. This is most likely due to exposure of the dissolving sutures. I close the deal incisions with dissolving sutures in multiple layers. You are at three weeks out from surgery and there is no redness or drainage. The slight wound separation is most likely superficial and does not need close sure. It is still best to have your surgeon check on the incisions.