I am so sorry this is happening to you. I would get into see a plastic surgeon, but expect to have to pay for a consultation and for treatment. If possible, I would go back to the person who did your surgery as they are ultimately responsible. I would not use triple antibiotic ointment, but aquaphor and xeroform. WIth an implant in and the wound dehisced, you are in danger of implant infection. It is too early to tell what the scarring will be. Please take care.

Thank you for trusting me with your question! This is one of the complications of breast surgery or any other dermatologic surgery when you have wound healing problem. We call it wound dehiscence. Your doctor has probably explained to you the causes. Yes, infection at the incision prevents the healing process and the skin cannot close. And, I think the other cause is the tension that is too high along the closures, the sutures hold the edges together but skin scarring is not strong enough or not being able to process. So when you remove the sutures, the wound wide opens. Because of the tension andor infection, you should not suture it back. You need to debris the dead skin and underlining tissue, then make sure there is minimal or no tension along the new wound edges. From the pictures you have sent me, Thank you your nipple looks OK. You need to treat the infection and remove the dead skin and soft tissue. It will be healing with time. As you anticipate, it will leave a sizable scar hopefully, you don't have hypertrophic scar. You know, you can revise the scar later. Right now you need to treat the infection and let the wound heal. Then you can do something about your implants. You know, you have done several big procedures. Breast lift wimplants alone is complicating and stressing enough to your body. You are so young, but your body need resources to heal itself. Now let me adress your concerns directly it may shrink a bit, but your scar is as big as the area between the skin edges. You can revise it when you have enough skin or when you want to have this breast smaller. Your nipple is not deformed but you cannot change its position so much. Again, your implants can be changed or fixed later depending on your condition at the time and what you want to do. I hope I have answered some part of your questions! Khiem Lai, MD Aesthetic Physician and Surgeon.

It sounds like you are in trouble. You can call around to plastic surgeons in your area. Some will take medical tourism patients. It is not cheap. Many will not be willing to take you on. Good luck.

So sorry you have experienced such difficulties following your surgery. This can be a very difficult problem - non-healing wounds with implants in place beneath the skin. You need to be seen by a qualified surgeon frequently to monitor how these wounds are healing. Trying to re-suture them at this point is fraught with difficulties, so I would recommend continued conservative wound care, dressing changes, topical antibiotics and possibly the need for systemic antibiotics. Once the wounds have healed and the scars have softened, revisional surgery can be performed to minimize your scarring.

You should consult a local plastic surgeon or at least a wound care specialist. Everyone heals and scars differently so it’s impossible to give you an idea of appearance and outcome at this time. The best thing to do is to heal the wounds, wait for the scars to mature and settle down and determine if any revision is necessary or desired. The big concern will be if the wounds continue to progress and the underlying implants become infected in which case they would need to be removed.

This answer has some concerns of mine. Therefore, this will be in general. This does not look good. You could possibly lose the nipples. I would strongly suggest you see a plastic surgeon who has a lot of experience with this surgery. If you have a good result in the end, I would suggest going to church the next Sunday.

I suspect your scars will be significant.
I’m sorry.

You need to have it reclosed

D Csikai MD

You have a very serious problem and you need to get back to your original surgeon ASAP. You are doing the right thing to minimize the chances of a serious infection but your wounds have to be closed as soon as possible. It may require removing your implants to relieve the tension in your breasts, that caused your wounds to “ pop” open twice. If this is not taken care of, even if your wounds eventually heal on their own, your nipples will be very distorted and will require a corrective operation.
Regarding your implant position, everything is too tight and while your tissues will stretch, two forces are working against each other. This is a very common complication when augmentations are done at the same time as breast lifts.
You need to get home to your surgeon.
Dr. M

Eventually they will heal but your scars will be wide and maybe thick
Dr. G

Unfortunately, you are in a complication stage after a plastic surgery procedure. The best advice for would be to seek advice from a certified wound care specialist and resolve the wound problem. After the present problem has been resolved, then you should make an appointment with a board certified plastic surgeon.