Pinkness near incision after Strattice reconstruction. Want a second opinion, does this look infected? (photos)

Question

Im 10 days post op on a Strattice reconstruction surgery for very thin skin under my breasts. I’ve been healing great with no pain. Last night I noticed pinkness forming underneath my incision and coming down. Sent my PS photos and he prescribed me a Zpack he’s not worried but it’s better to be safe than sorry. He had me outline the redness with a marker to track my progress of whether it stays the same, improves or worsens. Just want second opinions. Does this look infected ?

Paul J. Leahy, MD · Answer

Thanks for your question. You look excellent! It's always a dilemma when this occurs. I would agree with doing the antibiotic to be safe, but sometimes an oral or topical steroid can help take down the inflammation. I'd visit your surgeon regularly until this subsides. Best wishes

Michael N. Desvigne, MD, FACS · Answer

Answer:  It is not uncommon to see a red or pink breast after Strattice placement.  You hit upon the million dollar question.  Is this normal or is this an infection.  From the photo it is difficult to say.  Generally speaking, if there are no other signs of infection (redness, pain, drainage) than the chance of it being an infection is very low.  If there is any question, I recommend following up with your surgeon.  Sometimes it is difficult for us to tell as well. But if there is an implant in place, I tend to error on the aggressive side and start antibiotic therapy as a precaution.

William C. Rigano, MD (retired) · Answer

Infection after reconstruction typically causes pain, increasing redness,fever. Your photo appears normal to me. Breast removal changes blood flow and skin flaps can have a mild redness like yours. As long as tissues feel soft and there is no pain. I typically do not use a Zpack but your PS may have a different experience. You look good for 10 days to 2 weeks!

Pinkness near incision after Strattice reconstruction. Want a second opinion, does this look infected? (photos)

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Pinkness near incision after Strattice reconstruction. Want a second opinion, does this look infected? (photos)

Answers (3)

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Recommended reading

Everything you need to know about Breast Reconstruction

Our mission is to create a world where every investment in modern beauty is Worth It.