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

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.