Breast reduction incision opening. Why is this happening? (Photo)

Question

Help! I am so frustrated. I am 3 1/2 weeks out from breast reductions with TT and had kept it taped like I was told and then noticed yesterday that the right incision has opened. My dr says to just keep it clean and dry. I would like a second opinion. This is the second area that has not healed properly. Why is this happening?

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. This is very common with breast reduction surgery. This is usually due to blood flow problems or increased tension on the skin. When this happens, it is usually treated with local wound care and resolves without complication. Rest assured it will have very little influence on the ultimate outcome.Hope this helps!

Tim Neavin, MD · Answer

Thank you for your question and for your photos. I am sorry to hear that this is happening to you after surgery. This area after surgery can be a problem due to where the incision was placed. I would advise you to follow up with your surgeon. I hope this information helps.

Tom J. Pousti, MD · Answer

I am sorry to hear about your concerns after breast reduction surgery. The T junction area, after breast reduction or lifting surgery, can be  relatively problematic.  This area is prone to diminished blood flow and/or separation, related to the breast lifting incisions and tension in the area. 
These wounds go on to heal through a process of contraction where the tissues heal from the sides towards the center of the wound; this process usually takes several weeks to occur, depending on the size of the wound. Occasionally, removal of unhealthy tissue (debridement) and/or removal of exposed sutures, may expedite the healing process.   
 
 Best wishes;  despite the separation/wound it is most likely that you will be pleased with the longer-term outcome of the procedure.

Angela Keen, MD · Answer

Incisions that meet in corners like a T or at the top of a lollipop arrangement, get less circulation than the rest of the incision so they are more likely to heal slowly. Circulation is the key to healing. Breast reduction and tummy tuck involve reducing the circulation due to the removal and rearrangement of the tissues. The larger the reduction and the thicker the tissues, the more strained the circulation will be as well. I agree with your surgeon's advice to keep this opening clean and dry. As the circulation grows back your wound will heal and I think you will be surprised how good the scar looks.

Breast reduction incision opening. Why is this happening? (Photo)

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