Incision Popping Open 6 and 8 Weeks Post-op Breast Lift

Question

At 6 weeks and 8 weeks post-op breast lift surgery I have had a one inch section in the vertical incision under my nipple pop open releasing blood and fluid. My doctor seemed unconcerned but didn't give much explanation for this. He said I could resume my exercise routine but I am too nervous it will come open again. Is this a normal occurence and why has it happened twice and do you feel I can resume exercise before it is completely healed?

Jeffrey J. Roth, MD, FACS · Answer

Hard to say without a photo.  Separation of the incision is not uncommon with breast lifts and reductions.  The area is on tension, and that may effect wound healing.  There may also be a spitting suture or some other issue.  Please continue to be seen by your board certified plastic surgeon, and tell him/her your concerns.  Together, you will be able to come up with a plan.

Otto Joseph Placik, MD · Answer

Occasionally wounds will open at this time due to resorption of the internal sutures. Only your surgeon will be able to tell if the fluid is coming from the implant (if one was used for the procedure)

Steven Wallach, MD · Answer

Some patients do get a breakdown of the incision on lifts and reductions.  These will usually heal in secondarily over several weeks with adequate wound care.

Lisa Lynn Sowder, MD (retired) - Account Suspended · Answer

My guess is that you have "spit" some sutures that were holding the deep part of the skin together.  This is a fairly common occurence after this type of surgery.   It is usually a minor set back and once the open areas have healed and the scars have faded, the area usually looks fine.  Healing can take a few weeks so you must be patient!  I have my patients keep an open area like this covered with a little Bacitracin ointment and gauze and change it daily after showering.   Usually most activities are fine unless they stir up bleeding.  Find out what type of sutures you doctor used.  If you have surgery in the future, it may be a good idea for your doctor to choose another type.  Some patients are sensitive to certain suture materials.

	I hope this helps. 

	Lisa Lynn Sowder, M.D.

Incision Popping Open 6 and 8 Weeks Post-op Breast Lift

Answers (4)

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