Is This Wound Separation?

It appears that you have some necrosis and separation at the inverted T scar area. This is the area of the wound where the tension is the greatest and this problem occurs here with some frequency.  The area usually heals with local care and the scar is acceptable.

Separation, or dehiscence, of breast incisions can occur for one or more of several reason:

1) Too much tension on the skin incision (inadequate volume reduction)

2) Tobacco use (smoking) before and after surgery compomises circulation to the skin

3) Need for re-operation (i.e. for a hematoma) can cause additional trauma to the tissue

4) Previous radiation (breast cancer patients)