Reoccurring wounds after periareola uplift and implants. Why is this happening? What can I do? (Photo)

Hello modest456012,

Thank you for reaching out with your concerns about the recurring wounds you've experienced following your periareolar uplift with implants. I understand how distressing this can be, and I appreciate the opportunity to offer some guidance. Having reviewed your history and the photo you provided, it gives me a clearer understanding of your situation.

Based on what you've described, it seems you might be experiencing contact dermatitis. This condition arises when something irritates the skin, which could be a variety of things such as gauze, dressings, creams, or even the material of your bra. In these cases, it's crucial to minimize contact with any potentially irritating substances and allow the area to be exposed to air as much as possible.

For healing, a conservative approach is often effective. This would involve applying an antibiotic cream to keep the wound moist while combating bacterial growth. Alongside this, maintaining good nutrition is key. This includes taking multivitamins and vitamin C, and it's particularly important to avoid smoking as it can significantly impair healing. Another option to consider for optimal healing is hyperbaric treatment, which can enhance the body's natural healing processes.

It's my hope that with these measures, you'll see a marked improvement in your healing process. Remember, patience and careful wound care are essential during this time. If you have any further concerns or if the situation doesn't improve, I recommend discussing this with your surgeon for additional advice and potential treatment options.

I hope this response provides clarity and helpful suggestions for managing and treating your recurring wounds post-surgery. Wishing you a swift and smooth recovery.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

The title to this response is something I almost never say to anyone on Realself. That is an abnormal wound, and 6 months is WAY to long to have it. It is likely some infectious process, and your implants are not helping; it appears that the skin is under a lot of tension. You need to remove your implants and seek another doctor's assistance, possibly an infectious disease expert, if you still don't heal. However, I have a strong feeling you will heal once the implants are out. If this is only on one breast, you should still take BOTH implants out.

Since this has been going on for a while, you may have an infection in the permanent sutures used for the lift. Please discuss this with your surgeon.

This looks pretty serious and I would recommend following up with your surgeon in person.
You may have contaminated, suture material that needs to be removed.
I suggest getting a proper follow up care sooner rather than later.
Best,
Mats, Hagstrom MD