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Black Spot Along Tummy Tuck Incision Necrosis or Just a Burn?

asked 2 years ago by Sonya1 in Boston
Latest answer by Alan Engler, MD
Question viewed 2,852 times
Tags: necrosis, scar, spots

21 days post tummy tuck w/lipo. Smoke free before and after. I'm diabetic, sugars have been good before & better after, I got a black spot in top of insision. I get drained evry other day..no smell, drain from the scar daily, swelling has gone down. Should I visit my regular doctor?

3 answers to Black Spot Along Tummy Tuck Incision Necrosis or Just a Burn?

+1

Tummy Tuck - Black Spot Along Tummy Tuck Incision Necrosis or Just a Burn?

Unfortunately, this looks like it is Tissue Necrosis. I realize that this is being answered well after the fact, but I want to address the issue in case it applies to other people. It looks that much of the triangle below the umbilicus (belly button, or BB) is compromised and will not heal well. This complication is more likely to happen in smokers, in people who have small blood vessel disease (such as diabetes and other conditions) and other medical situations that have... more
Alan Engler, MD

New York Plastic Surgeon
+1

Necrosis

Unfortunately you have problems with tissue necrosis. The dark areas are dead skin and fat and will not heal by alone.. You really need to see your surgeon ASAP because you are at risk of things getting worse with infection and more tissue necrosis.
Isolde Hertess, MD

Gold Coast Plastic Surgeon

www.plasticsurgerycentregoldcoast.com.au

+1

Necrosis

The news is not good. In my opinion, the dark areas are dead tissue with sharp borders (necrosis with demarcation). The management should include surgical removal of all dead and compromised tissue (debridement). Not quite sure why you need to "get drained every other day" that would imply that at 3 weeks after surgery you have a chronic seroma or worse. It probably would be best to confront the situation, take you back to the operating room and clean the whole area up.... more
Peter A. Aldea, MD

Memphis Plastic Surgeon

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