Hello, and thank you for your question regarding being 18 days post-tummy tuck, and you have yellow spots along your incision. Thank you for your history and your pictures. In analyzing the pictures, you have some slight wound separation. The yellow spots that you describe are probably due to serous fluid. Serous fluid is your body's superglue used to glue wounds closed. I do not see any purulent fluid. Purulent fluid is a sign of infection. Purulent fluid is usually a foul-smelling, creamy liquid. This white to tan, creamy, purulent fluid does not appear in the pictures you attached. The wound separation you see in the pictures could be due to too much tension in the wound, swelling, or premature dissolving of some of the sutures. It was appropriate for your plastic surgeon to place you on Bactroban as well as antibiotics. Currently, you do not have any infection. There is no erythema, cellulitis, or foul-smelling discharge. I assume you have no fever or chills. The absence of clinical signs indicates that you do not have an infection. Fat necrosis is typically involved when there is liposuction. Fat necrosis is when a little ball of fat dies and liquefies. That is not what is being seen in your pictures. Additionally, you do not have any signs or symptoms of an infection, specifically a staph infection. Your incision should heal well with time. You should continue the Bactroban and local wound care to optimize wound healing. I suggest you increase your daily vitamin C, zinc, and magnesium intake. I would also suggest you drink approximately 100 g of protein daily in protein shakes. I would also limit activity and motion, not allowing shower, water, or soap to contact the wound. You can apply shower water and soap once the wound becomes a little drier. Good luck. I hope I have answered your question regarding 18 days postop, and you have yellow spots along your incision. I hope this information helps you find answers regarding the 360 circumferential lower body lift. If you have any more questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy, please contact aa experienced, board-certified plastic surgeon. Since the body lift is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing the lower body lift. Do your research. Ensure they have performed at least 150 circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)
