My wife had a mastectomy with a direct implant 6 weeks ago. She had fever 2 weeks after surgery and Doctor changed her antibi

Hello!  Thank you for your question. The photo appears ominous for mastectomy flap necrosis. I would follow-up closely with your surgeon as the need for surgical intervention may be needed with necrotic tissue. Best wishes. 

You have full thickness skin loss that requires attention. Depending on the skin laxity, it can be excised and closed, debrided and skin grafted, or a latissimus flap reconstruction. Sometimes it can be observed and see how it heals, but this risks infection, implant exposure and poor scarring.

Thank you Verdie for your questions.  Initially after a lumpectomy of that size, the defect may fill in with fluid, which initially may give your breast a normal contour.  However, over time, this fluid gets absorbed by your body, resulting in contour deformities, and possible nipple...