Smelly Yellow Discharge 4 Weeks Post-Breast Reduction

Question

Hello Doctor says this is normal, just excess tissue leaving through the incision. He said the incision is called a deer claw incision and this is common. There is no pain, redness, fever or inflammation from the incision sites. The pus smells awful. Usually about a teaspoon of yellow discharge stains my clothing everyday . It is coming from the incisions. When I look at the incisions, some have have the yellow pus on the scabs, some have leaking pus. Thanks

Richard J. Bruneteau, MD · Answer

This type of yellow
drainage is most likely secondary to fat necrosis or infection. When breast
reduction is performed it’s not unusual to have areas of fat necrosis. Fat
necrosis results from damage to the blood supply of small areas of breast
tissue. Over the course of time, this fat dissolves and turns into a yellow
oily fluid which can leak through the wound closure.

Infection can also
cause similar drainage, but this is usually accomplished by other signs of
infection. These include redness, fevers and chills.

Although, this is
probably consistent with fat necrosis, the foul smell does suggest the
possibility of infection. For this reason, your progress should be monitored
closely.

Jason Hess, MD · Answer

Yellow discharge may represent a number of potential source. The most obvious is infection, especially when a foul smell is involved. However, usually an infected region is surrounded bu redness and may or may not be accompanied by a fever. Fat necrosis (devasularized fat) making it way out of an open wound is also possible. This may also represent an early stitch abscess. Your body sometimes reacts to foreign material in this manner. It would be wise to keep in close contact with your plastic surgeon. Express your concerns. Post a pic for a more detailed evaluation. I hope this helps

Jeffrey M. Darrow, MD · Answer

During a breast reduction, breast tissue is removed and every effort is made so that the tissue which is left behind has a good blood supply and survives without a problem. Alas, some of the tissue left behind can lose it's blood supply and dies. This is called fat necrosis. After the fat dies, it can turn hard and then gradually breaks down to a "Wesson Oil" colored fluid which can leak out of the incisions. If there is no infection, the fluid is just yellow and patience is required to wait while this resolves. If the fluid is foul smelling there likely is bacteria in the fluid and you should be followed closely by your surgeon to monitor for infection. Fat necrosis may take several months to fully resolve so be patient.

Otto Joseph Placik, MD · Answer

AT 4 weeks it is very unusual to have a true breast infection without additional symptoms such as fever. IT is probably more likely that you are experiencing breast fat necrosis. In many instances this will stop on its own and in other circumstances it may require surgical treatment. Antibiotics may be prescribed to prevent secondary infection

Tom J. Pousti, MD · Answer

Thank you for the question.

	Superficial wound healing problems and/or discharge are not uncommon after breast reduction surgery. These usually go on to heal without further treatment and without detracting from the long-term surgical results.

	I would suggest continued follow-up with your plastic surgeon.

	Best wishes.

Smelly Yellow Discharge 4 Weeks Post-Breast Reduction

Answers (5)