American Society of Plastic Surgeons
For Medical Professionals
Mrs Wilcox
2 months ago


I had an uplift & micro implant 12 weeks ago . After 10 days everything started splitting underneath my breast to start with then it opened like a zip very quickly and one point I had 1/2 a nipple . I have been seeing my surgeon every single week at the clinic for check ups and he said there is nothing he can do for me . I put manuka honey , actilite gauzes and dress it everyday . It’s very deep

Procedure: Breast Augmentation
Location: manchester / LA, MB - United Kingdom

Replies 5

Gary Culbertson
ASPS Surgeon
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Mrs Wilcox,

You occurrence was unfortunate. The wound apears to be healing. Consider showering every day with 4% Chlorohexadene soap. PolyMen to the open wound & the Manuka Honey you are presently using. The PolyMem you can get on Amazon ( ). Normally, you do not require antibotics with this wound care regiment. It may take another 6-8 week to heal? If things deterorate consider a wound care center. Best,

Gary R Culbertson, MD

Jaime Caloca Valenzuela
ASPS Int. Surgeon

It is frustrating for both the patient and the surgeon to have an open wound. Currently, it looks like it is healing favorably without signs of infection. I agree that it may take another 6 to 8 weeks for the skin to epithelialize (form healthy skin over the open area. Since scar revision is most probably inevitable once healing is completed, I prefer to go back to the O.R. in a 30 minute surgery to remove the scar borders and re-suture healthy borders. This resolves the open area immediately and with rest, you will be back to normal in three weeks, with no more sores from day 1 after surgery. Be advised that only an experienced surgeon is able to achieve adequate closure bu removing what is necessary and correctly preparing the two borders so that it does not open up again. I have only had to do this twice in my 20 year practice, but it worked just fine both times. Complications arise with the most experienced suregons, but it takes an experienced one to solve these issues quickly.

Rahul Vemula
ASPS Surgeon
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Very sorry to hear this happened. From the looks of the picture it does look like its healing well and does not look like its infected nor does it look like there is an exposed implant ( an in person examination is needed to confirm this) In cases like this one must have close follow up with her surgeon and follow the surgeon's advice on wound care.

Best wishes

Daniel Allan

Stick with Dr. Culbertson's advice. After the wound has healed, allow time for the inflammation to subside and the tissues to soften. At that point you can consider scar revision. Patience is required-from both patient and surgeon.

Kimberly Marble
ASPS Surgeon

It is healing well. Continue on with your wound care regimen. This happens sometimes.


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