Does it look infected (photos)

You chose to undergo surgery in Mexico, but now you are online to get post-op care and advice. No wonder they charge less in foreign countries--there is little to no post op care, and if there are problems, you are on your own (SOL).Fortunately for you, this does not look infected. But I can't really tell without an examination, something my own patients can come in and have any time during their recovery. You may need wound cultures if this gets worse, appropriate antibiotic therapy based on culture results, and wound debridement or implant removal if one or both become infected. Will you return to Mexico for that care?You should have understood the ability (or not) to contact your surgeon for post-op care and advice regarding just these kinds of issues. Online advice is never a substitute for appropriate post-operative care and personal evaluation. You can continue to try to obtain care from your surgeon long-distance, or you can find a fully-trained ABPS-certified plastic surgeon in or close to your community who is willing to assume your care. You should expect to pay for that care, for this is part of the surgical fee paid here in the US that your local consultant did not receive. Since the Mexican surgeon can afford low prices because of providing no or little post-op care, your "savings" via surgical tourism will now need to be used locally.I hope your incisions continue to heal appropriately without further care. And, yes, they should not be soaked or scrubbed. Best wishes and good luck. Dr. Tholen

Thank you for your question and for sharing your photographs. It appears that you have had a small area of incision separation.  Though there are no signs of active infection I would recommend keeping the area covered with a clean gauze until your body is able to heal this wound from the inside-out.  It will take several weeks to finish, and may look worse before it looks better, but given good wound care it should not materially affect your long-term results.  Hope this helps.