3 1/2 weeks post op tummy tuck with open wound that looks worse daily. Is this normal? (Photos)

Unfortunately, this is not all that uncommon when there is a vertical component to the tunny tuck. It is a result of inadequate blood supply. In the vast majority of cases this will heal over time simply with good local wound care. Of course, this was not what you had hoped for and it often takes 1-3 months to completely close. The wound typically "looks" worse before it looks better since the dying/dead tissue sloughs away making the defect larger. Then it goes through a stabilization phase where no improvement seems to be happening. Finally, once it begins to actually shrink in size it usually heals rather rapidly. Follow your surgeons wound care instructions closely to help minimize the time necessary to heal.

Thank you for sharing your question, photographs, and experience.  Unfortunately this is not an expected/wanted outcome but can occur due to limitations in blood flow to the skin tissues.  A tummy tuck involves a trade-off in the amount of skin excision to achieve a tight result but which can compromise blood flow and lead to wound healing complications.  At this time you may see some worsening of the tissues’ appearance but then your body will start to fill in the wound from the inside-out.  Follow up closely with your surgeon to help speed healing and avoid additional issues.  Hope this helps.

Sorry for the complication of fat necrosis with inverted T incision splitting or dehiscence. I usually offer PRF infusion therapies with external red laser light treatments once or twice a week. Fees in $500 ranges for each session. It speeds the healing pricess.