Tummy Tuck: Q&A
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Black Spot Along Tummy Tuck Incision Necrosis or Just a Burn?
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?
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4 Doctor Answers |
Asked by
Sonya1
in Boston
+1
Skin necrosis or not after an abdominoplasty?
It looks like you have skin necrosis to the flap. Being a diabetic puts you at a higher risk for necrosis. It also places you at a higher risk for infection with necrotic skin. I would be very conservative in your treatment and would see you quite regularly. I would also have you check your blood glucose regularly to make sure you aren't running higher than normal. If this is necrosis, you should be prepared for a somewhat lengthy recovery with wound care...
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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...
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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....
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