Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Cosmetic Surgery (Expert Forum)
Recurring incision opening
Answered by
Howard Rosenberg, MD - Cosmetic Surgery
Accent on Aesthetics Plastic Surgery Medical Center
Questions in the Cosmetic Surgery forum are answered by Dr. Howard Rosenberg. Topics include bariatric surgery reconstruction, breast augmentation, chemical peels, cosmetic or reconstructive surgery, face lift, nose reconstruction, and tummy tucks.
Recurring incision opening
by Sace222, Sep 24, 2007 09:36PM
After 10 months I am still having problems with an incision from my breast reduction not healing properly, can this be due to a lymphatic problem with the breast?
I have recurring openings with cyst like properties around my areola incision scars. They begin with a raised purple area under the skin, which eventually works its way to the surface and breaks open with a bloody discharge, leaving a pocket / fistula that extends under the areola / nipple. The area will form a scab resulting in fluid building back up and breaking open the area repetitively with it growing in size. The fluid doesn't seem to be absorbed by the surrounding tissue. I have had three revisions for one area that appears to have finally healed, however two weeks after my last surgery I formed another area a two centimeters from the first. My surgeon suggested getting a referal from my primary care doctor to see if I have an underlying issue. The other complication I have had with the surgery are seromas that had to be drained three times. Any help would be greatly appreciated.
I have recurring openings with cyst like properties around my areola incision scars. They begin with a raised purple area under the skin, which eventually works its way to the surface and breaks open with a bloody discharge, leaving a pocket / fistula that extends under the areola / nipple. The area will form a scab resulting in fluid building back up and breaking open the area repetitively with it growing in size. The fluid doesn't seem to be absorbed by the surrounding tissue. I have had three revisions for one area that appears to have finally healed, however two weeks after my last surgery I formed another area a two centimeters from the first. My surgeon suggested getting a referal from my primary care doctor to see if I have an underlying issue. The other complication I have had with the surgery are seromas that had to be drained three times. Any help would be greatly appreciated.
Doctor's Answer
by Howard Rosenberg, MD, Sep 25, 2007 11:26AM
, Sep 25, 2007 11:26AM
The problem sounds like a foreign body reaction, most likely from the sutures placed at the time of surgery. Two further diagnostic studies (if they have not already been done) that may be helpful are a pathologic examination of any tissue removed if you need further excision of tissue with scar revision, and also a culture and sensitivity of the drainage to see what bugs you are growing from the area.
Member Comments (2)
by Sace222, Oct 04, 2007 08:54PM
Thank you for your response,
