Is a Skin Graft Necessary for a Breast Reduction Gone Wrong? (photo)

You to have a very frank discussion with your PS, it can be healed with a Skin graft but this will leave additional scarring in other areas and will need to be revised, or if you chose you can allow it to heal on its own...good luck

Though rare this is a complication following breast reduction of wound dehiscence and necrosis. Options are allow healing by secondary intention which could take 3 months. or try a surgery of a STSG (split thickness skin graft). Both will leave a scar deformity, sorry. 

Just an unfortunate complication of a breast reduction.  The blood supply to the breast is very predictable at the base of the breast but as you move out toward the end of the breast it is more and more random.  Your early blistering was the first sign of vascular compromise.  At this point there is no way to speed up the process.  Treat with Silvadene cream, allow it to heal then may need a revision in the future. 

The breasts should be treated with good local care and debridement by your plastic surgeon, if indicated.  They will go on to heal by secondary intention.  It may take some time but should happen.  At that point, you can evaluate the result and determine whether any revisional surgery will be required. 

First you can not be too active as a lot of movement will further open the wound.  Second you should put silvadene and not bactroban on the open wound.  Do not let the open areas dry out as dessication will further deepen the wound.  With time the wound will contract and the defect will become smaller.  Looking at the size of the defect this may take up to three months of Silvadene usage.  If you smoke then stop.  Your other scars look hypertrophic.  The use of the scar dressing Embrace will remove some tension of the breast reduction scars on the left breast and this may help the quality of your scars down the line.  Eventually after the wound closes you will need a scar revision. 

You would be surprised  how well it will look if you let it heal on its own. It will take a while, but with local care and a lot of patience it will heal up. Sometimes these things happen.

I am sorry to hear about your ordeal. there are different ways of managing your wound from this stage, these include operative or non operative techniques. As you have already been through a lot, a sensible option would be to let it heal on its own. Once its healed have a chat with your surgeon if they need to improve scars with revision.