I have a small section of my incision (about 1/2 inch wide at the widest part, by 1 inch long) above my pubic area. I am a day shy of 3 weeks post-op from surgery and my doc said last week that I had an area where the skin was dieing, it is now black and he said to just put antibiotic ointment on it and it'll heal up. I think it is getting better, but was wondering ususally how long it takes for it to heal? I was a smoker, and quit 6 weeks prior to surgery and haven't smoked since. Thanks.
How Long Does It Take for Skin Necrosis to Heal?
Doctor Answers 14
Healing time after skin necrosis
An area of marginal necrosis in the middle is not uncommon. This is the area that is the furthest away from the blood supply and under the most tension. These areas generally take about 4 - 6 weeks to fully heal. Many times the scar will look just fine and other times you may require a relatively simple scar revision. Simple wound care is all that is required at this time.
Have a question? Ask a doctor
Skin Necrosis Post Tummy Tuck
This is a problem that can occur in smokers or immunocompromised (cancer) patients. It is important to allow the wound to declare its borders of healthy tissue. I recommend treating these with a silvadene cream until the dry necrotic tissue demarcates itself. I also recommend maintaining a flexed posture and preventing tension on the incision line, which can worsen the ischemic tissue. If there is any surround redness or fluid drainage, I would recommend cultures of this to provide adequate antibiotic coverage. Next, I would recommend debridement of the black area and wet to dry dressings for a small wound and a wound vac for a large wound. Usually, 4-8 weeks is required to fully heal such a wound. I also recommend a high protein diet with multivitamins to accelerate the wound healing process.
I wish you a safe and healthy recovery.
Skin necrosis after Tummy Tuck
Unfortunately, whenever a Plastic Surgeon lifts and shifts skin, there is the risk of loss of blood circulation resulting in death of the skin (necrosis). Nicotine constricts the circulation to the skin and increases the risk of necrosis in Tummy Tucks, Face lifts, Breast reductions and mastopexies.
Your area of necrosis does not appear to be large. The treatment is removal of dead tissue(debridement) and local wound care. In a healthy person all wounds close by a combination of healing and contracture. A wound your size may take 4-8 weeks to heal. After the wound is closed, you should wait 6-8 months for the tissues to soften and mature. At that time your surgeon can perform a simple scar revision under local anesthesia.
Have patience. Stick with your surgeon. You will be fine in the end.
Richard L. Dolsky MD
You might also like...
Wound healing after surgery
There are many factors that contribute to poor wound healing. At this point, it is best to let the wound declare itself and to help prevent infection. Keep up good nutrition, minimize trauma to the area and apply the creams or medications that your doctor prescribes. The body is an amazing thing and you will be surprised what a few months of healing can do. Hang in there.
Best of Luck.
Skin necrosis following tummy tuck
Unfortunately, this is one of the complications that all of us have seen one time or another. The good news is that it will heal, but it may leave a wider scar. Following complete healing, if the scar is unacceptable after 6-9 months, your surgeon may consider a small revision. By the way, congrats on the quitting!!
Tissue necrosis heals slowly
Good for you! It's hard to stop smoking. Unfortunately, it caused what sounds like a small setback in your healing process. The size wound you describe should heal in 4-6 weeks, but take several more months to soften. If there is a black crust (eschar) on top as you describe it needs to be removed by your surgeon in the office. Daily dressing changes will keep the wound clean and help with the healing process. The area will contract as it heals and look smaller than it does now. Nevertheless, it may be necessary to do a little scar revision once the surrounding tissues have softened. Be patient and things will turn out OK.
Skin necrosis and smoking
Unfortunately, smoking is a gift that keeps on giving. I have had patients who stopped smoking for several months that had wound issue problems. Do not forget second hand smoke from smokers at home. A small area of necrosis may take 6-8 weeks to heal sometimes less.
Healing of skin necrosis after tummy tuck
There are basically two ways to treat the necrotic skin. One is to continue doing what you are doing by applying ointment and letting the eschar or dead skin heal on its own (which may take 4-8 weeks). The other option is debriding the eschar which may accelerate the healing process of the tissue underneath.
Skin loss after tummy tuck
Skin loss or necrosis (skin death) is more common in individuals that smoke because of the constriction of the micro-circulation to the skin. When an area of necrosis occurs, the area should be cleaned and debrided of all the non vital tissue to reduce the infection risk. Healing can take a fairly long time, several weeks if the area is small to two to three months with wound care if large. Keep frequent visits with your surgeon who should help guide you through.
Best of luck,
Healing of necrotic skin
If you have necrosis with an eschar (black, full thickness, dead skin), this area should be debrided before the wound can heal. The dead skin is an impediment to the basic method of spontaneous wound closure: contraction and re-epithelialization. Once the area is debrided, it will take about three weeks before you notice significant healing and then it depends on the local blood supply, the size of the wound, and the pliability of the surround soft tissue.