Is this normal or is this infected? Should I be worried? (Photo)
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Doctor Answers 2
Neither normal nor infected--wound breakdown from stitch abscesses. You should stop self-treating this!
This involves removal of the contaminated sutures where they are evident, which "cures" the local area of breakdown and starts the healing process anew..
I'm not saying there is no case for antibiotic coverage to minimize the potential for these locally compromised areas of your incision from becoming infected, but that while bacteria are involved, good wound care is much more important than taking a certain antibiotic.
Neosporin may actually be part of your problem, because triple antibiotic ointment contains Neomycin, which causes an allergic hypersensitivity reaction in as much as 10% of those patients who use it chronically on an open area. That may be the largest contributor to your open wounds at present, more than the contaminated dissolving stitches that probably started all of this. I would recommend Silvadene rather than any kind of topical antibiotic ointment, or if not that, then Bacitracin. Hydrogen peroxide is another common remedy, but except for grossly purulent wounds (once), peroxide can inhibit healing by killing not only bacteria but skin cells. Saline moist to dry dressings may be recommended, but you really need to see your surgeon for direction of this post-op complication before it worsens.
Yes, this will result in a wider scar, but once everything is healed, local anesthesia excision can remove the unsightly scarring and replace it with the thin line you would have otherwise had. You need active care by your plastic surgeon. Make an appointment ASAP. Best wishes for a good final result! Dr. Tholen
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