I have a hole in the T-incision and am concerned. What can I do? (photo)

Hello, thank you for your inquiry and photo. It is normal that sometimes it opens in the T inverted incision, usually there is some draining through there, this will close on its own. Just verify that there is no bad smell, redness, hot, and pain. Make sure you take antibiotic, wash with soap and water and maintain dry also you can try using microdayn spray and let dry. Have some rest and try to recover as much as possible. Best of luck 

While not common, having a wound healing problem at the "T junction" can happen.  Unless there is an implant in there, I would not be concerned and I'd let it heal on its own.  If you have an implant, it is probably worth seeing if the wound could be revised and you may benefit from some preventative antibiotics.  Your surgeon knows your situation best.  You trusted him/her to do your surgery , trust him/her to take care of you after.

Hi J_Riley,

I understand your concern. While it is common to have a superficial separation of the wound at the T junction following a breast lift surgery, this must be closely monitored and make sure it does not become infected. You should follow your plastic surgeon's post operative wound care management instructions.

If you are concerned, it is best that you visit your plastic surgeon to have yourself properly assessed. Only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

I have a hole in my incision? Hey thanks for bringing up just very important question. I’m sorry that you’re having a wound delay in your T incision. This is actually quite common. The woman can respond rather well to treatment.
I suggest you have a conversation with your plastic surgeon wants again and discuss whether you need to be On antibiotics, whether you need to be on dressing changes, whether you need to be in a high-protein diet, whether you need to be on vitamins A, C, B, D, and zinc, Which are supplements that can assist you in healing faster.
Don’t panic! Get to work.
Good luck with the rest of your recovery, Dr. Aldo

Thank you for your question and providing a photo. It would be helpful to know the date of your surgery and implant position. If you have pus coming out of your incision I highly recommend you contact your surgeon. you may need antibiotics and more local wound care. Best of luck

The T junction area, after breast reduction surgery, can be relatively problematic.  This area is prone to diminished blood flow and/or separation, related to the breast reduction incisions and tension in the area.  Drainage is not commonly seen in the area; in your case, this appears to be related to an underlying suture.   Once this is does once this dissolves or is removed by your plastic surgeon, the area should to heal quickly.
  Best wishes. 

Thanks for writing,The "T" can be an area where a slight opening and or drainage can occur. It is the area where everything comes together. Typically this heals extremely well. Soap and water a couple of times a day, light gauze dressing and antibiotic ointment three to four times a day is all that is necessary. That being said, check with your Plastic Surgeon to ensure you are following his / her instructions carefully and completely. You should do well. Good LuckStephen M. Davis, MD, FACSBoard Certified Plastic SurgeonMember: American Society for Aesthetic Plastic SurgeryMember: American Society of Plastic Surgeons

You need to be in touch with your plastic surgeon or a suitably qualified and experienced plastic surgeon. T junctions often give rise to healing problems but in healthy people these will usually heal up fine. There is a particular concern if there is an implant in the breast as there is the risk that it is or could become infected. You need to be under the care of your surgeon and it is not appropriate for you to be advised by answering questions over the internet.Best wishes

Hi dear, thank you for your question.It is normal to experience these type of issues during this period of post op but you don't need to worry unless you feel sharp pain or certain uncomfortability. I suggest consulting your PS and following His/Her instructions carefully.Hope this helps,Dr. Jimenez Toribio Plastic and Reconstructive Surgeon.

Hi and welcome to our forum!
The operative procedure of mastopexy (breast lift) involves
separation of the skin and soft tissues of the breast from underlying breast
tissue. The skin and soft tissue is then advanced downward and the excess skin
and soft tissue is removed in an inverted "T" fashion.  
If there is impairment of the blood supply to the breast skin and soft
tissue, the segment of the flap the greatest distance from its blood supply may
not survive (at the junction of the inverted "T" flaps). The cause of
the blood supply impairment can range from effects of smoking, diabetes
mellitus, vascular disease, previous surgery in the area (disrupting the normal
blood supply), infection, or may totally inapparent.  
Treatment consists of removal of the unhealthy tissue, followed by
a regimen of wound care. One looks for the development of granulation tissue, a
beefy red vascular tissue, to develop, after which time the wound will begin to
shrink. Most wounds of this size will seal over a span of 4 weeks or so.
However, a regimen of frequent wound care is required after unhealthy
tissue is removed to prevent infection. 
In your situation, the wound is granulated with no apparent unhealthy tissue. There is a difference between tissue fluid which is limpid and is clear with a yellow tinge (normal), and pus which is usually thick, viscous, and may be of many different colors (abnormal).
Follow your plastic surgeon's instructions. Once sealed, allow the scar to mature before considering revision as I am surprised how well they often heal on their own.
Best wishes...