Treatment of Inframammary Incision Opening After Breast Augmentation
Immediate Wound Management
- The skin should be closed with a subcuticular technique to optimize cosmetic results and minimize visible scarring 1
- Preservation of the subcutaneous tissue with separate closure improves the cosmetic outcome and structural integrity 2, 1
- Meticulous hemostasis is critically important to prevent hematoma formation, which can compromise wound healing and lead to further complications 2, 3
Risk Factors to Address
- Ensure adequate tissue perfusion and avoid tension on the closure, as excessive tension can lead to wound breakdown 2
Technical Pitfalls to Avoid
- Avoid excision of skin segments as this may alter the position of the inframammary crease and compromise healing 2, 1
- Do not reapproximate breast tissue in a way that appears adequate when the patient is supine but causes distortion when upright, as this creates tension on the incision 2, 1
- Prevent hematoma formation through meticulous hemostasis, as hematomas produce changes that complicate healing and may lead to infection 2, 3