4 years post-op - Incision from procedure keeps opening, what can I do to keep this from happening? (Photos)

Question

i got a bbl 4 years ago and the incision right above my buttcrack keeps opening up about once a month and starts bleeding. i have taken pictures and noticed a piece of gelatin gummy like tissue that is attached to my body where the blood seems to be coming out of. what is going on and what can i do or need to do to keep this from happening? thank you

Daniel Barrett, MD · Answer

Dear nmillsap,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Cagil Meric Erenoglu, MD · Answer

Hi, nmillsap, thank you for your question and photos. 
Youn incision looks to be fistulized. Normally we expect the incision to close from 48 hours. If it stays open too much (may be because of consistent leaking after operation ar keeping a drain much longer than should be) it gets epithelized and needs a revision for the incision. An x-ray with contrast will be helpful to understand to what level the fistula goes. It is necessary to excise the fistula as deep as possible.

Peter Andolina, DO · Answer

Based on your description and the pictures it looks like you may have a pyogenic granuloma. Its not serious or life threatening. Its highly vascular tissue that develops after an insult or injury to the skin/tissues. It can be easily treated with some cauterization or a small excision. You should probably go back to your surgeon and have them take a look - its a quick fix for such a troublesome matter

Darryl J. Blinski, MD · Answer

Great posted photos. First question to you is, did you ever have illegal injections to your buttock? The gelatin droplets appear to be silicone or bio polymer. Where was the BBL done in USA or out of country? You need to see a boarded Plastic Surgeon in person for detailed examination. Then most likely, at least I would, recommend wide excision with a layered closure surgery revision. My fee $3,500. Best to try virtual consult with....

Omer Faruk Deveci, MD · Answer

Dear. it is hard to tell for sure without an examination. You will need to get a clearance from your doctor prior to surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
For my opinion, you can have a dermoid cyst there. So you need debridement and scar revision there.
 Omer Faruk DEVECİ, MD Certified, European Board of Plastic Surgery Member, Turkish Society of Plastic Surgery Member

4 years post-op - Incision from procedure keeps opening, what can I do to keep this from happening? (Photos)

Answers (7)

Answer: 4 years post-op - Incision from procedure keeps opening, what can I do to keep this from happening?

Answer: 4 years post-op - Incision from procedure keeps opening, what can I do to keep this from happening?

Answer: Scar revision

Answer: Scar revision

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4 years post-op - Incision from procedure keeps opening, what can I do to keep this from happening? (Photos)

Answers (7)

Answer: 4 years post-op - Incision from procedure keeps opening, what can I do to keep this from happening?

Answer: 4 years post-op - Incision from procedure keeps opening, what can I do to keep this from happening?

Answer: Scar revision

Answer: Scar revision

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Recommended reading

Everything you need to know about Brazilian Butt Lift

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