Could my breast augmentation incision sight be infected? (photos)

Question

I had breast augmentation surgery exactly three weeks ago. I had an an areolar reduction as well. I have been noticing some white, pus like areas, where some if the stitches have already been removed. I visited my PS (he debrieded the area) and assured me it was not infected. Today I noticed the white pus like substance was back and am again concerned I might have an infection. I just want to make sure I don't have an infection.

Daniel Barrett, MD · Answer

Cindy,I would have to examine you but it looks like a stitch is working its way out or has created some minor localized inflammation. I would recommend you follow up with your plastic surgeon. Such problem can be dealt with quickly in the office.I hope this was helpful,Dr. Daniel BarrettPlastic and Reconstructive SurgeryBeverly Hills, CA

Martin Jugenburg, MD · Answer

Your photos are not entirely clear. It seems as though a stich may spit out. You should follow up with your plastic surgeon for an examination.

Josh Olson, MD · Answer

the photo is such a close up it's hard to say for sure. The incision has slightly opened up but white tissue like that in the wound is pretty normal appearing if it's not actual liquid purulent fluid draining. That white tissue is sort of like internal scabbing and should clear as the incision closes up. If the redness is spreading than it's likely an infection. Just some redness around the wound can be irritation and inflammation from the open wound. If you are experiencing fevers or other signs of an infection you should talk to your surgeon.

Steven Wallach, MD · Answer

You might have a small stitch abscess but hard to say without an exam. Best to follow with your surgeon. Good luck.

Darryl J. Blinski, MD · Answer

Best to return to see your surgeon again. Just to be sure there is nothing going on in the incision area.....

Todd C. Case, MD · Answer

Based on your description, you sound like you have reaction to the sutures and are "spitting the sutures" .  This is also known as suture granulomas.  Your surgeon, who is examining you, is the best person to tell if there is infection.  It is difficult to tell based solely on the photographs provided.  Continue close follow-up with your surgeon to make sure thinks progress in the right direction.

Arian Mowlavi, MD, FACS (license on probation) · Answer

You have to see your surgeon so that he can rule out a festering suture. Difficult to assess from photograph.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question. It is impossible to diagnose an infection without an exam. Hopefully it is just a stitch abscess as others have mentioned. Please see your plastic surgeon for an exam, diagnosis and treatment.

M. Dean Vistnes, MD - Account Suspended · Answer

This picture is not ideal but it looks like you may have a dissolvable stitch working itself to the surface. Make an appointment with your surgeon so this can be taken care of. Good luck, Dean Vistnes.

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