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

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

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.

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

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....

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

Looks like you may have a suture granuloma or pilonidal cyst. Both of these can be taken care of by any surgeon in your area.

Most likely you formed a small granuloma. This is an overgrowth of internal scar tissue that continues to multiply until skin cells grow over it.
If it’s a granuloma then it can either be treated by scraping it, using silver nitrate or injecting anti-inflammatory steroids.
Sometimes midline incisions are in an area that has frequent rubbing that can cause delayed healing.
This is also in an area where some people form natural cysts call pilonidal cyst. These can be associated with tracts that go through the skin that are remnants of embryological development that wasn’t perfect. if you didn’t have issues before the procedure then pilenidal cysts, pits or tracts are unlikely.
I suggest you follow up with your provider.
If he or she is not available then schedule an in person consultation with another plastic surgeon.
Best,
Mats Hagstrom MD