15 months post op breast reduction, incision split around 4 weeks: what should I do now? (photos)

Hello and thank you for your question.
Reach out to your surgeon to be evaluated and to discuss possible scar revision options.
Best wishes!

This is certainly a disappointing result following breast reduction. Wound healing issues are common with breast reduction surgery due to the large amount of incisions and pressure on these healing surgical wounds. While it is difficult to think about more surgery, it is likely that another surgery is the only option to fix this issue. This will excise the current scars and close the skin in a more controlled fashion. While not guaranteed, the chance of wounds opening or poor wound healing with this revision are much smaller than with the initial surgery and will likely improve your overall satisfaction with the procedure.

Thank you for your question.
Based on your photo, I believe you may warrant a scar revision. Since the scar is so stretched, I do not see it improving with the use of topical scar creams or steroids. I recommend speaking with a board certified plastic surgeon to discuss your options.