My stitches busted open 2 weeks post butt implants, my doctor said he can't restitch them, what do I do? (Photos)

Question

Now I have a big open wound. My doctor says he can't restitch them and I should let it heal on its own. I feel like this wound is very big and deep and it will take too long to heal on its own, what should I do?Should I wait of remove the butt implants?

Dhaval M. Patel, MD · Answer

Thank you so much for your questions and photos! I suggest you seek another opinion from a board certified plastic surgeon and come up with a post op treatment plan.  Best of luck!Dr Dhaval Patel 
Double Board Certified
Plastic Surgeon 
Chicago 
Hoffman Estates 
Oakbrook
Orlando Park

Ryan A. Stanton, MD · Answer

I could be wrong but from the looks of the photographs your surgeon has very little experience in performing buttock implant surgery. The incision placement is poor and drastically long and the implant placement unorthodox. If your wound is open and your implants are exposed then the implants need come out sooner than later so that the healing process can begin.  Again, from the looks of your photos, this is bound to happen. If the implants are exposed and they’re not removed your wound will never heal.

Kenneth Hughes, MD · Answer

Hello.
Great question. I am sorry for your post op difficulties. Suturing once again your incisions may cause more damage. It is best for it to heal in its own. Best of luck with your recovery.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures.  You need to have this issue addressed sooner rather than later.  Re-suturing the incision is not the answer.  The incision shows signs of tissue loss which could lead to infection.  The areas of tissue loss need to be surgically removed and if the implants are threatened then the implants should be removed.Best Wishes.

Daniel Barrett, MD · Answer

Dear starlove8925,
your plastic surgeon is right, this type of wounds heal well without further stitching. You should follow the advice he gave you, keep your wound clean and this should heal well with time. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Alexander Aslani, MD · Answer

Wound healing problems after buttock implants are not uncommon. Outcome is usually very good, the best management in most cases is conservative treatment and to let them heal up by secondary intention.Restitching is fraud with a high risk of secondary wound breakdown and infection.So what your surgeon says makes sense.

Kimberly A. Henry, MD · Answer

I'm curious about your surgeons technique and approach to the placement of your buttock implants.
Your incision length, location and placement is not typical.I'm very concerned about your personal hygiene and whether your incision is now contaminated.
Implants that are contaminated or infected will need to be removed immediately. Your safety and general health are at risk.
Perhaps there is more to this story.I would seek daily evaluation with your surgeon,and stay close to home in case you get ill.
Good luck to you.

Douglas M. Senderoff, MD, FACS · Answer

thank you for sharing.  I would highly recommend seeking a second opinion from a board certified plastic surgeon that specializes in this procedure.

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