Tummy Tuck Incision Opening Up Holes 8 Weeks Post Op? (photo)

I am sorry to hear about the complication you are experiencing. These types of complications can be quite distressing to patients; unfortunately, sometimes the wounds do look worse before they begin to look better.Close follow up with your plastic surgeon will be in your best interests; sometimes removal of a exposed suture and/or removal of any unhealthy tissue will expedite healing. In my opinion, a "wound care specialist" referral is not necessary assuming you are under the care of a well experience board-certified plastic surgeon.Wound care regimens will differ from one plastic surgeon to another. Generally, this will involve application of some type of sterile dressing ( in my practice I use a non-stick dressing covered by a sterile dressing). You should have peace of mind that these types of wound healing problems generally go on to heal over the course of the next several weeks, often without long-term sequelae. Also important to concentrate on a healthy diet, including good protein source. Sometimes (depending on the width of the open wound and the appearance of the scar in the longer term), scar revision surgery may be helpful down the line. Best wishes.

Hello and thank you for the question. Wound breakdown after tummy tuck can be from a variety of reasons, including excessive tension on the incision from taking too much skin, poor blood supply from aggressive liposuction, and smoking among others. I would closely follow with your surgeon. These wounds should heal spontaneously with local wound care. Once everything has healed, then a revision surgery can be done in a delayed fashion to correct the widened scar. I would keep the area clean and avoid any strenuous activity/lifting and smoking (if you are a smoker). Your surgeon is the best person to talk to.
Pejman Aflaki, M.D.

Johns Hopkins-trained plastic surgeon

The posted photo shows wound dehiscence and fat necrosis. This will heal will good wound care over the next few months.