Should I be concerned? The two that are warm, puffy and redish is mostly where my shirt has been rubbing.

Yes, if that is red around the incision and feels hot, it could be an infection and you should call your surgeon. When was your surgery?

Monday.

I don't like that big reddened area around it. If it's warm, call your dr.

I went by the hospital to pick up my pillow I left there and had a nurse look at it. She thinks it looks more like a local reaction to the glue. She said just keep an eye on it.

It does look like a localized reaction from the picture. Just watch it like she said.