Armpit open wound after brachioplasty. Any suggestions? (photo)
Doctor Answers 9
Arm lift arm reduction brachioplasty post operative wound arm liposuction arm lift scar
Thank you for your questions and pictures from your recent arm lift, arm reduction, or barchioplasty. Congratulations on having undergone an arm lift!
Unfortunately, wound breakdown in the armpit is not uncommon. Fortunately, given the appropriate arm wound treatment, almost all these armpit wounds heal with conservative treatment. In my experience, that means these arm wounds do not need surgical debridement, skin grafting, or even scar revision. Your wound is open, but it does not look infected. I would not use vasoline.
It is important to realize that every plastic surgeon has his or her own way of treating plastic surgery wounds. I would suggest sticking with your plastic surgeon. In this age of digital technology, I would email or text him or her these pictures. I believe these wounds can be handled over the phone. I would not involve your PCP. Involving another physician who does not specialize in wound care may complicate your wound healing and may in fact slow your wound healing. You must realize that plastic surgeons specialize in wound care, not PCPs. I believe your plastic surgeon is more than qualified to handle your arm wounds. In my practice, I would apply a cream called Santyl. Santyl is an enzymatic debriding agent. Santyl will remove the yellow tissue in the wound. Once the yellow tissue is gone, I stop the Santyl. Then, I apply either Granulex spray or bacitracin ointment. These wounds may take 2 to 3 weeks to close. At this time, if all the other incisions are closed, I would encourage showering with soap and water. Showering will help to keep these wounds clean.
If you have any further questions regarding post operative care after an arm lift, arm reduction, or brachioplasty, please contact my offfice. Sincerely, Dr. Katzen.
Armpit open wound after brachioplasty.
Wound healing after brachioplasty
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Local wound care
Sorry to hear of your postoperative issues. Poor wound healing is unfortunately relatively common after a brachioplasty- the suture line undergoes a lot of stress and strain throughout the day. Your wound is pretty significant- but nothing that will not heal with local wound care and time.
It is always best to follow your surgeons suggestions, but if you were my patient I would perform a local debridement of the necrotic tissue followed by thrice daily washings and coverage with a light layer of antibiotic ointment and a soft gauze pad. will take several weeks to fully close and you may need a small scar revision months afterward.
I hope this helps
sorry for this small problem
it will heal
i would recommend to my patients, soap and water wash with an antibacterial soap 2-3 times a day, the axilla is kind of dirty.
also the wash will remove the junky looking stuff
then aquaphor healing ointment to keep it moist
limit arm activity if possible,ie. over head
it may take time but if you are healthy and clean it will heal