8 days ago I had a BL mastectomy with TE expanders. I got home the next day and had deep purple bruising just like the picture. 8 days later nothing has changed except for the development of tiny white puss pimples. My PS said he did not know what it was. I made them swab one but wont have lab results back for two more days. The bruise has not grown. PS has me on another round of antibiotics after he saw my breast. No fever. And I have no feeling in that skin area due to surgery. What is this?
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February 28, 2016
Answer: Do I have skin necrosis or just feel bruising?
You have full thickness skin loss that requires attention. Depending on the skin laxity, it can be excised and closed, debrided and skin grafted, or a latissimus flap reconstruction. Sometimes it can be observed and see how it heals, but this risks infection, implant exposure and poor scarring.
Thank you Verdie for your questions. Initially after a lumpectomy of that size, the defect may fill in with fluid, which initially may give your breast a normal contour. However, over time, this fluid gets absorbed by your body, resulting in contour deformities, and possible nipple...
I would highly recommend you speak to your doctor about your concerns about a possible infection prior to taking the antibiotics. Antibiotic use can increase the resistance of bacteria and make then less effective when needed.Good luck!
