Breast reduction: does this look infected? (photos)

While it is not possible to make a definitive diagnosis based on photographs alone, it does not appear that you have an obvious infection. Rather the appearance is consistent with a wound healing problem and probably associated with an ischemic injury, i.e. a blood supply/circulation problem. Although you may not currently have an infection, the open wound does put you at risk for developing one. It is therefore imperative that you remain in close contact with your surgeon. 

Thank you for your pictures and questions. While the wound can appear scary, it does not appear infected. Rather, it appears that you had some blood flow issues to the skin along the incision and there was some death of the skin and opening of the incision. This can sometimes happen with breast reduction surgery. It can usually be managed with local wound care and will go on to heal and leave a widened scar. Follow the instructions of your plastic surgeon and see them for frequent follow up to make sure everything is going according to plan. Best of luck!

It appears that your wound is not healing well and the edges separated.  The cream your surgeon prescribed should help to prevent an infection while it heals. This may take several weeks and will leave a wide scar, which will likely need a scar revision.

but it doesn't look infected.  If you have spreading redness or increases in pain and drainage, an infection could be happening then.  You should be followed regularly by your surgeon and you may need debriding of necrotic tissue to facilitate healing.  If you wound progresses despite what you are doing, other causes must be entertained such as reaction to sutures (if different ones were used) or pyogenic granuloma.  Otherwise you should see progressive improvement and you will eventually heal.

You have a healing problem but it does not look infected at this point but you will need wound care to get this to heal but it will take several weeks.  The cream is to help keep the wound clean and not get infected and works well.  Once the wound is healed and the scar has settled down, a scar revision could be done if needed.  I would follow you doctors instructions and follow up the him weekly.